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 $759.85 / $839.05 / $1,230.78	Professional		$759.85	$839.05	$1,230.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $841.69 / $873.46 / $873.46	Professional		$841.69	$873.46	$873.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.80 / $950.80 / $950.80	Facility		$950.80	$950.80	$950.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.32 / $1,021.81 / $1,695.58	Professional		$744.32	$1,021.81	$1,695.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $993.16 / $1,340.46 / $1,715.45	Professional		$993.16	$1,340.46	$1,715.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,500.00 / $11,083.00	Facility		$1,426.00	$5,500.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $759.85 / $880.80 / $4,447.89	Professional		$759.85	$880.80	$4,447.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,020.60 / $1,020.60 / $1,746.90	Professional		$1,020.60	$1,020.60	$1,746.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $950.80 / $950.80 / $950.80	Facility		$950.80	$950.80	$950.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $759.80 / $1,039.67 / $1,703.35	Professional		$759.80	$1,039.67	$1,703.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $824.05 / $824.05 / $825.91	Facility		$824.05	$824.05	$825.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $799.74 / $825.91 / $873.07	Professional		$799.74	$825.91	$873.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.92 / $1,022.10 / $1,659.99	Professional		$760.92	$1,022.10	$1,659.99