Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,048.00 / $8,451.00	Facility		$1,020.00	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.37 / $970.35 / $1,395.28	Professional		$654.37	$970.35	$1,395.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.85 / $1,260.85 / $1,260.85	Facility		$1,260.85	$1,260.85	$1,260.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.23 / $775.06 / $5,251.05	Professional		$705.23	$775.06	$5,251.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $473.45 / $1,023.27 / $1,869.47	Professional		$473.45	$1,023.27	$1,869.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $4,993.00 / $10,247.00	Facility		$1,054.00	$4,993.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $654.37 / $1,050.52 / $2,660.00	Professional		$654.37	$1,050.52	$2,660.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,260.85 / $1,260.85 / $1,260.85	Facility		$1,260.85	$1,260.85	$1,260.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $705.23 / $775.06 / $5,251.05	Professional		$705.23	$775.06	$5,251.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,352.68 / $1,352.68 / $1,489.43	Facility		$1,352.68	$1,352.68	$1,489.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $601.04 / $1,379.73 / $1,489.43	Professional		$601.04	$1,379.73	$1,489.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,150.93 / $1,732.78 / $2,642.36	Professional		$1,150.93	$1,732.78	$2,642.36