Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,610.24 / $2,159.46 / $2,781.00	Professional		$1,610.24	$2,159.46	$2,781.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,049.69 / $2,272.40 / $2,272.40	Professional		$2,049.69	$2,272.40	$2,272.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,434.80 / $2,671.66 / $2,671.66	Facility		$2,434.80	$2,671.66	$2,671.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,270.91 / $2,671.66 / $4,515.00	Professional		$2,270.91	$2,671.66	$4,515.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,610.24 / $2,159.46 / $2,816.43	Professional		$1,610.24	$2,159.46	$2,816.43
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,434.80 / $2,671.66 / $2,671.66	Facility		$2,434.80	$2,671.66	$2,671.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $2,671.66 / $5,643.75	Professional		$318.45	$2,671.66	$5,643.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,270.16 / $3,921.10 / $3,984.00	Professional		$3,270.16	$3,921.10	$3,984.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,361.32 / $1,700.40 / $3,434.80	Professional		$1,361.32	$1,700.40	$3,434.80