Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.00 / $2,747.00 / $8,017.00	Facility		$1,058.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.99 / $1,248.90 / $1,842.76	Professional		$1,060.99	$1,248.90	$1,842.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,463.00 / $11,091.00	Facility		$4,150.00	$7,463.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,260.21 / $1,307.77 / $2,318.76	Professional		$1,260.21	$1,307.77	$2,318.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.06 / $1,424.06 / $1,424.06	Facility		$1,424.06	$1,424.06	$1,424.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.72 / $1,318.42 / $2,449.25	Professional		$613.72	$1,318.42	$2,449.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,485.14 / $2,015.32 / $2,565.25	Professional		$1,485.14	$2,015.32	$2,565.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,077.00 / $8,017.00	Facility		$1,013.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,056.00 / $1,302.73 / $4,575.00	Professional		$1,056.00	$1,302.73	$4,575.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $690.40 / $690.40 / $2,542.19	Professional		$690.40	$690.40	$2,542.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,424.06 / $1,424.06 / $1,424.06	Facility		$1,424.06	$1,424.06	$1,424.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $680.32 / $1,367.21 / $2,476.35	Professional		$680.32	$1,367.21	$2,476.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.75 / $1,227.81 / $1,227.81	Facility		$588.75	$1,227.81	$1,227.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.75 / $1,227.81 / $1,297.84	Professional		$588.75	$1,227.81	$1,297.84
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 $614.21 / $1,337.84 / $2,550.17	Professional		$614.21	$1,337.84	$2,550.17