Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.65 / $3,830.00 / $8,240.00	Facility		$1,100.65	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.42 / $1,071.09 / $1,554.80	Professional		$953.42	$1,071.09	$1,554.80
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 $1,063.29 / $1,142.77 / $1,939.13	Professional		$1,063.29	$1,142.77	$1,939.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.39 / $1,200.39 / $1,200.39	Facility		$1,200.39	$1,200.39	$1,200.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.72 / $1,283.43 / $2,138.73	Professional		$1,002.72	$1,283.43	$2,138.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,255.57 / $1,702.89 / $2,168.71	Professional		$1,255.57	$1,702.89	$2,168.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,100.65 / $4,597.00 / $8,404.00	Facility		$1,100.65	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $953.42 / $1,192.16 / $5,228.16	Professional		$953.42	$1,192.16	$5,228.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,364.10 / $1,364.10 / $2,218.10	Professional		$1,364.10	$1,364.10	$2,218.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,200.39 / $1,200.39 / $1,200.39	Facility		$1,200.39	$1,200.39	$1,200.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,002.72 / $1,316.84 / $2,198.17	Professional		$1,002.72	$1,316.84	$2,198.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,035.67 / $1,035.67 / $1,275.42	Facility		$1,035.67	$1,035.67	$1,275.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,002.55 / $1,042.16 / $1,275.42	Professional		$1,002.55	$1,042.16	$1,275.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $960.08 / $1,240.48 / $2,081.92	Professional		$960.08	$1,240.48	$2,081.92