Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $1,865.00 / $3,308.00	Facility		$617.00	$1,865.00	$3,308.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $345.00 / $1,200.00	Facility		$235.00	$345.00	$1,200.00
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 $545.00 / $1,516.00 / $3,308.00	Facility		$545.00	$1,516.00	$3,308.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $325.00 / $1,158.00	Facility		$235.00	$325.00	$1,158.00
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 $372.00 / $1,021.00 / $11,736.00	Facility		$372.00	$1,021.00	$11,736.00