Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.83 / $2,747.00 / $8,247.00	Facility		$968.83	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.31 / $905.02 / $1,190.82	Professional		$790.31	$905.02	$1,190.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $25,716.00 / $39,341.64	Facility		$8,639.91	$25,716.00	$39,341.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $936.45 / $1,008.78 / $1,609.05	Professional		$936.45	$1,008.78	$1,609.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,056.80 / $1,056.80 / $1,056.80	Facility		$1,056.80	$1,056.80	$1,056.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.39 / $1,065.80 / $1,813.57	Professional		$751.39	$1,065.80	$1,813.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.32 / $1,499.61 / $1,909.20	Professional		$1,105.32	$1,499.61	$1,909.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $968.83 / $4,761.00 / $8,427.00	Facility		$968.83	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $810.60 / $968.83 / $4,599.57	Professional		$810.60	$968.83	$4,599.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.00 / $1,137.00 / $1,899.40	Professional		$1,137.00	$1,137.00	$1,899.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,056.80 / $1,056.80 / $1,056.80	Facility		$1,056.80	$1,056.80	$1,056.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $797.05 / $1,085.23 / $1,833.84	Professional		$797.05	$1,085.23	$1,833.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $912.04 / $912.04 / $1,044.93	Facility		$912.04	$912.04	$1,044.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $882.52 / $918.05 / $1,044.93	Professional		$882.52	$918.05	$1,044.93
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 $808.15 / $1,084.96 / $1,888.30	Professional		$808.15	$1,084.96	$1,888.30