Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,104.70 / $1,756.08 / $2,210.75	Professional		$1,104.70	$1,756.08	$2,210.75
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,700.96 / $2,029.73 / $2,029.73	Professional		$1,700.96	$2,029.73	$2,029.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.09 / $2,225.09 / $2,225.09	Facility		$2,225.09	$2,225.09	$2,225.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,891.33 / $2,225.09 / $4,710.93	Professional		$1,891.33	$2,225.09	$4,710.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,104.70 / $1,756.08 / $2,238.23	Professional		$1,104.70	$1,756.08	$2,238.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,225.09 / $2,225.09 / $2,225.09	Facility		$2,225.09	$2,225.09	$2,225.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $274.97 / $2,225.09 / $4,710.93	Professional		$274.97	$2,225.09	$4,710.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,243.53 / $3,189.30 / $3,290.90	Professional		$2,243.53	$3,189.30	$3,290.90
United Facility/Professional Professional Modifier Low / Median / High Price $927.85 / $1,289.11 / $2,411.23	Professional		$927.85	$1,289.11	$2,411.23