Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.00 / $4,250.00 / $10,398.00	Facility		$1,278.00	$4,250.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.21 / $843.72 / $1,219.11	Professional		$765.21	$843.72	$1,219.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $833.72 / $865.18 / $865.18	Professional		$833.72	$865.18	$865.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.02 / $943.02 / $943.02	Facility		$943.02	$943.02	$943.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.09 / $1,046.68 / $1,741.43	Professional		$786.09	$1,046.68	$1,741.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $979.66 / $1,300.54 / $1,692.14	Professional		$979.66	$1,300.54	$1,692.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,350.00 / $11,083.00	Facility		$1,426.00	$5,350.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $773.52 / $911.47 / $4,689.82	Professional		$773.52	$911.47	$4,689.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $919.70 / $919.70 / $1,828.50	Professional		$919.70	$919.70	$1,828.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $943.02 / $943.02 / $943.02	Facility		$943.02	$943.02	$943.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $786.53 / $1,061.81 / $1,792.68	Professional		$786.53	$1,061.81	$1,792.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $826.51 / $826.51 / $842.69	Facility		$826.51	$826.51	$842.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $808.33 / $826.51 / $876.24	Professional		$808.33	$826.51	$876.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,175.00 / $2,715.00 / $4,815.00	Facility		$1,175.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $766.18 / $1,046.78 / $1,647.17	Professional		$766.18	$1,046.78	$1,647.17