Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.03 / $4,048.00 / $8,451.00	Facility		$1,194.03	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.37 / $1,121.05 / $1,493.12	Professional		$1,016.37	$1,121.05	$1,493.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $25,716.00 / $39,341.64	Facility		$8,639.91	$25,716.00	$39,341.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,148.54 / $1,191.88 / $1,987.07	Professional		$1,148.54	$1,191.88	$1,987.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,303.43 / $1,303.43 / $1,303.43	Facility		$1,303.43	$1,303.43	$1,303.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.76 / $1,300.24 / $2,196.98	Professional		$945.76	$1,300.24	$2,196.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,382.40 / $1,938.39 / $2,387.79	Professional		$1,382.40	$1,938.39	$2,387.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $4,993.00 / $10,247.00	Facility		$1,151.00	$4,993.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $981.30 / $1,244.47 / $5,677.85	Professional		$981.30	$1,244.47	$5,677.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.80 / $1,074.80 / $2,308.80	Professional		$1,074.80	$1,074.80	$2,308.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,303.43 / $1,303.43 / $1,303.43	Facility		$1,303.43	$1,303.43	$1,303.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $971.31 / $1,334.50 / $2,196.98	Professional		$971.31	$1,334.50	$2,196.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $900.48 / $1,113.41 / $1,113.41	Facility		$900.48	$1,113.41	$1,113.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $900.48 / $1,113.41 / $1,187.56	Professional		$900.48	$1,113.41	$1,187.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $959.28 / $1,297.85 / $2,113.46	Professional		$959.28	$1,297.85	$2,113.46