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 $688.31 / $762.49 / $1,115.55	Professional		$688.31	$762.49	$1,115.55
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 $762.89 / $791.68 / $1,411.78	Professional		$762.89	$791.68	$1,411.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.37 / $863.37 / $863.37	Facility		$863.37	$863.37	$863.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.06 / $925.55 / $1,538.27	Professional		$702.06	$925.55	$1,538.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $902.64 / $1,218.29 / $1,559.10	Professional		$902.64	$1,218.29	$1,559.10
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 $688.31 / $876.25 / $3,804.15	Professional		$688.31	$876.25	$3,804.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $823.80 / $823.80 / $1,570.90	Professional		$823.80	$823.80	$1,570.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $863.37 / $863.37 / $863.37	Facility		$863.37	$863.37	$863.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $708.10 / $935.62 / $1,546.13	Professional		$708.10	$935.62	$1,546.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $706.92 / $747.22 / $747.22	Facility		$706.92	$747.22	$747.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $706.92 / $747.22 / $793.27	Professional		$706.92	$747.22	$793.27
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 $677.77 / $943.61 / $1,573.86	Professional		$677.77	$943.61	$1,573.86