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 / $8,933.00	Facility		$1,020.00	$4,048.00	$8,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.62 / $717.61 / $1,012.66	Professional		$659.62	$717.61	$1,012.66
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 $730.09 / $757.64 / $1,349.41	Professional		$730.09	$757.64	$1,349.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $826.55 / $826.55 / $826.55	Facility		$826.55	$826.55	$826.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.00 / $874.72 / $1,468.77	Professional		$659.00	$874.72	$1,468.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $864.14 / $1,165.71 / $1,492.60	Professional		$864.14	$1,165.71	$1,492.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,342.00 / $10,247.00	Facility		$1,151.00	$5,342.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $659.62 / $765.76 / $3,953.27	Professional		$659.62	$765.76	$3,953.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $806.30 / $806.30 / $1,506.90	Professional		$806.30	$806.30	$1,506.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $826.55 / $826.55 / $826.55	Facility		$826.55	$826.55	$826.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $665.86 / $894.17 / $1,482.53	Professional		$665.86	$894.17	$1,482.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $715.72 / $715.72 / $814.32	Facility		$715.72	$715.72	$814.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $695.67 / $717.25 / $814.32	Professional		$695.67	$717.25	$814.32
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 $639.97 / $901.02 / $1,486.50	Professional		$639.97	$901.02	$1,486.50