Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.68 / $4,676.31 / $5,587.87	Facility		$1,135.68	$4,676.31	$5,587.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.65 / $1,082.23 / $1,135.68	Professional		$801.65	$1,082.23	$1,135.68
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,042.15 / $1,042.15 / $1,042.15	Professional		$1,042.15	$1,042.15	$1,042.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.51 / $1,735.88 / $3,992.31	Facility		$894.51	$1,735.88	$3,992.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,439.95 / $6,439.95 / $6,439.95	Professional		$6,439.95	$6,439.95	$6,439.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,402.89 / $1,803.72 / $3,300.14	Professional		$1,402.89	$1,803.72	$3,300.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,487.74 / $4,610.30 / $5,587.87	Facility		$1,487.74	$4,610.30	$5,587.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $876.88 / $1,135.68 / $5,518.05	Professional		$876.88	$1,135.68	$5,518.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,977.41 / $2,004.13 / $2,672.18	Professional		$1,977.41	$2,004.13	$2,672.18
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $930.99 / $1,688.47 / $4,433.34	Facility		$930.99	$1,688.47	$4,433.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6,439.95 / $6,439.95 / $6,439.95	Professional		$6,439.95	$6,439.95	$6,439.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,336.09 / $1,336.09 / $1,469.70	Facility		$1,336.09	$1,336.09	$1,469.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,336.09 / $1,469.70	Professional		$1,336.09	$1,336.09	$1,469.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,336.09 / $1,603.31 / $1,603.31	Facility		$1,336.09	$1,603.31	$1,603.31
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $801.65 / $2,004.14	Professional		$561.16	$801.65	$2,004.14