Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.60 / $3,066.00 / $7,799.00	Facility		$1,020.60	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.55 / $995.97 / $1,428.57	Professional		$889.55	$995.97	$1,428.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $976.96 / $1,407.03 / $1,863.10	Professional		$976.96	$1,407.03	$1,863.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.95 / $1,115.95 / $1,115.95	Facility		$1,115.95	$1,115.95	$1,115.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $943.53 / $1,244.24 / $2,076.57	Professional		$943.53	$1,244.24	$2,076.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.84 / $1,578.76 / $1,975.73	Professional		$1,143.84	$1,578.76	$1,975.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $889.55 / $1,038.93 / $4,752.34	Professional		$889.55	$1,038.93	$4,752.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,962.50 / $2,435.40	Professional		$15.00	$1,962.50	$2,435.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,115.95 / $1,115.95 / $1,115.95	Facility		$1,115.95	$1,115.95	$1,115.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $943.53 / $1,264.03 / $2,096.56	Professional		$943.53	$1,264.03	$2,096.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $956.94 / $956.94 / $1,100.63	Facility		$956.94	$956.94	$1,100.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $914.16 / $975.35 / $1,100.63	Professional		$914.16	$975.35	$1,100.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $2,824.00 / $5,678.00	Facility		$1,747.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $939.54 / $1,243.84 / $2,027.29	Professional		$939.54	$1,243.84	$2,027.29