Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,217.60 / $3,004.74 / $3,972.36	Professional		$2,217.60	$3,004.74	$3,972.36
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,870.34 / $3,182.20 / $3,182.20	Professional		$2,870.34	$3,182.20	$3,182.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.00 / $2,187.00 / $4,550.89	Facility		$2,187.00	$2,187.00	$4,550.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,858.95 / $2,187.00 / $6,363.75	Professional		$1,858.95	$2,187.00	$6,363.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,217.60 / $3,004.74 / $4,022.60	Professional		$2,217.60	$3,004.74	$4,022.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.00 / $2,187.00 / $4,550.89	Facility		$2,187.00	$2,187.00	$4,550.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $455.09 / $2,187.00 / $7,954.69	Professional		$455.09	$2,187.00	$7,954.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,503.71 / $5,455.90 / $5,646.40	Professional		$4,503.71	$5,455.90	$5,646.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,894.16 / $2,575.82 / $4,803.72	Professional		$1,894.16	$2,575.82	$4,803.72