Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $3,066.00 / $7,799.00	Facility		$1,216.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,135.79 / $1,335.10 / $1,968.55	Professional		$1,135.79	$1,335.10	$1,968.55
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 $1,346.23 / $1,397.03 / $2,488.46	Professional		$1,346.23	$1,397.03	$2,488.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,521.54 / $1,521.54 / $1,521.54	Facility		$1,521.54	$1,521.54	$1,521.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.21 / $1,481.94 / $2,648.21	Professional		$794.21	$1,481.94	$2,648.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,586.24 / $2,152.94 / $2,739.88	Professional		$1,586.24	$2,152.94	$2,739.88
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 $1,207.81 / $1,416.90 / $5,823.00	Professional		$1,207.81	$1,416.90	$5,823.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $872.70 / $872.70 / $2,756.70	Professional		$872.70	$872.70	$2,756.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,521.54 / $1,521.54 / $1,521.54	Facility		$1,521.54	$1,521.54	$1,521.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $862.19 / $1,557.54 / $2,681.76	Professional		$862.19	$1,557.54	$2,681.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,311.44 / $1,311.44 / $1,372.64	Facility		$1,311.44	$1,311.44	$1,372.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,268.05 / $1,321.33 / $1,386.13	Professional		$1,268.05	$1,321.33	$1,386.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $6,885.00 / $22,992.86	Facility		$2,468.00	$6,885.00	$22,992.86
United Facility/Professional Professional Modifier Low / Median / High Price $795.86 / $1,569.58 / $2,555.94	Professional		$795.86	$1,569.58	$2,555.94