Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.40 / $4,989.00 / $15,634.00	Facility		$1,255.40	$4,989.00	$15,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.53 / $1,181.04 / $1,503.31	Professional		$1,018.53	$1,181.04	$1,503.31
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 $964.16 / $1,134.31 / $1,859.65	Professional		$964.16	$1,134.31	$1,859.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.20 / $1,364.20 / $1,364.20	Facility		$1,364.20	$1,364.20	$1,364.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $956.91 / $1,403.93 / $2,439.44	Professional		$956.91	$1,403.93	$2,439.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $893.28 / $1,232.48 / $1,776.38	Professional		$893.28	$1,232.48	$1,776.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,255.40 / $5,342.00 / $10,689.00	Facility		$1,255.40	$5,342.00	$10,689.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,085.59 / $1,255.40 / $3,728.53	Professional		$1,085.59	$1,255.40	$3,728.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,364.20 / $1,364.20 / $1,364.20	Facility		$1,364.20	$1,364.20	$1,364.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.33 / $1,431.56 / $2,439.44	Professional		$1,034.33	$1,431.56	$2,439.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,068.79 / $1,068.79 / $1,436.97	Facility		$1,068.79	$1,068.79	$1,436.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $742.65 / $1,046.67 / $1,436.97	Professional		$742.65	$1,046.67	$1,436.97
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 $937.60 / $1,318.72 / $2,063.92	Professional		$937.60	$1,318.72	$2,063.92