Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $1,865.00 / $3,308.00	Facility		$714.00	$1,865.00	$3,308.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $600.00 / $1,285.00	Facility		$480.00	$600.00	$1,285.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $960.00 / $1,690.00	Facility		$960.00	$960.00	$1,690.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $684.00 / $1,700.00 / $3,308.00	Facility		$684.00	$1,700.00	$3,308.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $600.00 / $1,200.00	Facility		$480.00	$600.00	$1,200.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $145.82 / $145.82 / $145.82	Facility		$145.82	$145.82	$145.82
United Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $1,013.00 / $11,736.00	Facility		$454.00	$1,013.00	$11,736.00