Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.16 / $909.41 / $1,136.77	Professional		$716.16	$909.41	$1,136.77
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,321.58 / $1,702.86 / $1,702.86	Professional		$1,321.58	$1,702.86	$1,702.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,116.58	Facility		$1,116.58	$1,116.58	$1,116.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.10 / $1,116.58 / $2,467.50	Professional		$949.10	$1,116.58	$2,467.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,566.63 / $1,566.63 / $1,702.86	Professional		$1,566.63	$1,566.63	$1,702.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $716.16 / $909.41 / $1,321.58	Professional		$716.16	$909.41	$1,321.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,116.58	Facility		$1,116.58	$1,116.58	$1,116.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $949.10 / $1,116.58 / $2,467.50	Professional		$949.10	$1,116.58	$2,467.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,346.50 / $1,651.97 / $1,651.97	Professional		$1,346.50	$1,651.97	$1,651.97
United Facility/Professional Professional Modifier Low / Median / High Price $661.01 / $919.97 / $1,692.31	Professional		$661.01	$919.97	$1,692.31