Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.08 / $1,052.89 / $2,300.42	Facility		$880.08	$1,052.89	$2,300.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,063.42	Professional		$1,052.89	$1,052.89	$1,063.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $898.85 / $1,052.89 / $8,639.91	Facility		$898.85	$1,052.89	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.29 / $1,052.89 / $1,052.89	Facility		$993.29	$1,052.89	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $894.96 / $1,052.89 / $1,344.91	Professional		$894.96	$1,052.89	$1,344.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $880.08 / $1,052.89 / $2,300.42	Facility		$880.08	$1,052.89	$2,300.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,047.30 / $1,052.89 / $1,063.42	Professional		$1,047.30	$1,052.89	$1,063.42
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $993.29 / $1,052.89 / $1,052.89	Facility		$993.29	$1,052.89	$1,052.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $222.39 / $222.39 / $258.06	Facility		$222.39	$222.39	$258.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $222.39 / $222.39 / $258.06	Professional		$222.39	$222.39	$258.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.25 / $1,052.89 / $1,454.04	Professional		$1,000.25	$1,052.89	$1,454.04