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 / $8,451.00	Facility		$1,020.00	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.83 / $704.09 / $1,027.90	Professional		$628.83	$704.09	$1,027.90
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 $702.95 / $748.42 / $1,270.11	Professional		$702.95	$748.42	$1,270.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.31 / $795.31 / $795.31	Facility		$795.31	$795.31	$795.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.76 / $851.86 / $1,414.03	Professional		$651.76	$851.86	$1,414.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $832.37 / $1,127.56 / $1,437.73	Professional		$832.37	$1,127.56	$1,437.73
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 $628.83 / $754.81 / $3,466.04	Professional		$628.83	$754.81	$3,466.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $932.60 / $932.60 / $1,431.30	Professional		$932.60	$932.60	$1,431.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $795.31 / $795.31 / $795.31	Facility		$795.31	$795.31	$795.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $654.38 / $872.48 / $1,441.11	Professional		$654.38	$872.48	$1,441.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $684.19 / $684.19 / $747.49	Facility		$684.19	$684.19	$747.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $687.38 / $747.49	Professional		$663.30	$687.38	$747.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.89 / $842.70 / $1,368.62	Professional		$651.89	$842.70	$1,368.62