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 $685.36 / $769.74 / $1,097.17	Professional		$685.36	$769.74	$1,097.17
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 $750.32 / $778.64 / $778.64	Professional		$750.32	$778.64	$778.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.33 / $853.33 / $853.33	Facility		$853.33	$853.33	$853.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.67 / $955.60 / $1,545.58	Professional		$725.67	$955.60	$1,545.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.79 / $1,194.00 / $1,540.37	Professional		$891.79	$1,194.00	$1,540.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $4,993.00 / $10,247.00	Facility		$1,151.00	$4,993.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $695.18 / $835.71 / $3,954.22	Professional		$695.18	$835.71	$3,954.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $703.90 / $703.90 / $1,827.60	Professional		$703.90	$703.90	$1,827.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $853.33 / $853.33 / $853.33	Facility		$853.33	$853.33	$853.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $725.67 / $963.65 / $1,609.26	Professional		$725.67	$963.65	$1,609.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $741.59 / $741.59 / $818.92	Facility		$741.59	$741.59	$818.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $725.28 / $741.59 / $818.92	Professional		$725.28	$741.59	$818.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.84 / $940.52 / $1,462.15	Professional		$691.84	$940.52	$1,462.15