Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $4,371.89 / $5,569.73	Facility		$2,016.42	$4,371.89	$5,569.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,996.32 / $2,036.59 / $6,008.71	Professional		$1,996.32	$2,036.59	$6,008.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,859.49 / $2,187.63 / $8,639.91	Facility		$1,859.49	$2,187.63	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,092.51 / $2,092.51 / $2,092.51	Professional		$2,092.51	$2,092.51	$2,092.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.29 / $2,016.42 / $2,016.42	Facility		$1,902.29	$2,016.42	$2,016.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $4,851.06 / $6,008.71	Facility		$2,016.42	$4,851.06	$6,008.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,996.32 / $2,205.96 / $6,008.71	Professional		$1,996.32	$2,205.96	$6,008.71
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,902.29 / $2,016.42 / $2,016.42	Facility		$1,902.29	$2,016.42	$2,016.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,825.83 / $1,825.83 / $2,118.66	Facility		$1,825.83	$1,825.83	$2,118.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,825.83 / $1,825.83 / $2,118.66	Professional		$1,825.83	$1,825.83	$2,118.66
United Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $3,475.30	Professional		$2,016.42	$2,016.42	$3,475.30