Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,089.16 / $5,862.31	Facility		$2,068.46	$2,089.16	$5,862.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,089.16	Professional		$2,068.46	$2,068.46	$2,089.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,758.20 / $2,068.46 / $8,639.91	Facility		$1,758.20	$2,068.46	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Professional		$2,068.46	$2,068.46	$2,068.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Facility		$2,068.46	$2,068.46	$2,068.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Professional		$2,068.46	$2,068.46	$2,068.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,048.96 / $2,146.53 / $2,642.18	Professional		$2,048.96	$2,146.53	$2,642.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,242.78 / $5,862.31	Facility		$2,068.46	$2,242.78	$5,862.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,242.78	Professional		$2,068.46	$2,068.46	$2,242.78
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,951.39 / $2,068.46 / $2,068.46	Facility		$1,951.39	$2,068.46	$2,068.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,146.53	Professional		$2,068.46	$2,068.46	$2,146.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $214.98 / $214.98 / $214.98	Facility		$214.98	$214.98	$214.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $214.98 / $214.98 / $214.98	Professional		$214.98	$214.98	$214.98
United Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,919.63	Professional		$2,068.46	$2,068.46	$2,919.63