Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $4,264.00 / $8,451.00	Facility		$1,054.00	$4,264.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.17 / $688.50 / $1,042.84	Professional		$621.17	$688.50	$1,042.84
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 $693.21 / $724.50 / $1,272.11	Professional		$693.21	$724.50	$1,272.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $783.40 / $783.40 / $783.40	Facility		$783.40	$783.40	$783.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.84 / $830.68 / $1,392.59	Professional		$612.84	$830.68	$1,392.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $818.49 / $1,104.76 / $1,413.75	Professional		$818.49	$1,104.76	$1,413.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,272.70 / $10,247.00	Facility		$1,151.00	$5,272.70	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $621.17 / $727.94 / $3,419.14	Professional		$621.17	$727.94	$3,419.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $814.60 / $814.60 / $1,457.50	Professional		$814.60	$814.60	$1,457.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $783.40 / $783.40 / $783.40	Facility		$783.40	$783.40	$783.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $625.95 / $838.45 / $1,411.04	Professional		$625.95	$838.45	$1,411.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $675.89 / $675.89 / $759.08	Facility		$675.89	$675.89	$759.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $656.01 / $678.31 / $759.08	Professional		$656.01	$678.31	$759.08
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 $608.36 / $811.15 / $1,309.53	Professional		$608.36	$811.15	$1,309.53