Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,050.00 / $9,534.00	Facility		$1,020.00	$4,050.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.89 / $644.27 / $947.10	Professional		$575.89	$644.27	$947.10
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 $647.69 / $672.13 / $1,169.35	Professional		$647.69	$672.13	$1,169.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.70 / $731.70 / $731.70	Facility		$731.70	$731.70	$731.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.86 / $794.34 / $1,284.21	Professional		$587.86	$794.34	$1,284.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $761.95 / $1,018.76 / $1,316.09	Professional		$761.95	$1,018.76	$1,316.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,350.00 / $10,247.00	Facility		$1,151.00	$5,350.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $575.89 / $673.19 / $3,175.16	Professional		$575.89	$673.19	$3,175.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $754.30 / $754.30 / $1,364.70	Professional		$754.30	$754.30	$1,364.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $731.70 / $731.70 / $731.70	Facility		$731.70	$731.70	$731.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $599.41 / $802.03 / $1,345.15	Professional		$599.41	$802.03	$1,345.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $630.91 / $630.91 / $637.45	Facility		$630.91	$630.91	$637.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $615.16 / $630.91 / $667.99	Professional		$615.16	$630.91	$667.99
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 $597.29 / $807.99 / $1,293.75	Professional		$597.29	$807.99	$1,293.75