Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.92 / $3,830.00 / $8,240.00	Facility		$1,067.92	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.35 / $1,039.83 / $1,508.34	Professional		$925.35	$1,039.83	$1,508.34
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,031.51 / $1,109.28 / $1,882.23	Professional		$1,031.51	$1,109.28	$1,882.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,165.18 / $1,165.18 / $1,165.18	Facility		$1,165.18	$1,165.18	$1,165.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $973.12 / $1,265.06 / $2,075.13	Professional		$973.12	$1,265.06	$2,075.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.69 / $1,651.35 / $2,103.28	Professional		$1,217.69	$1,651.35	$2,103.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,067.92 / $4,597.00 / $8,404.00	Facility		$1,067.92	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $925.35 / $1,152.33 / $5,072.60	Professional		$925.35	$1,152.33	$5,072.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.00 / $1,348.00 / $2,098.80	Professional		$1,348.00	$1,348.00	$2,098.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,165.18 / $1,165.18 / $1,165.18	Facility		$1,165.18	$1,165.18	$1,165.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $973.12 / $1,277.18 / $2,135.08	Professional		$973.12	$1,277.18	$2,135.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,005.48 / $1,005.48 / $1,305.52	Facility		$1,005.48	$1,005.48	$1,305.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $973.16 / $1,011.88 / $1,305.52	Professional		$973.16	$1,011.88	$1,305.52
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 $977.18 / $1,246.68 / $2,051.16	Professional		$977.18	$1,246.68	$2,051.16