Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.84 / $3,142.00 / $8,017.00	Facility		$927.84	$3,142.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.69 / $882.79 / $1,261.90	Professional		$762.69	$882.79	$1,261.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $862.98 / $953.07 / $1,624.02	Professional		$862.98	$953.07	$1,624.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.74 / $977.74 / $977.74	Facility		$977.74	$977.74	$977.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.64 / $1,053.32 / $1,802.93	Professional		$753.64	$1,053.32	$1,802.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,020.16 / $1,399.83 / $1,762.10	Professional		$1,020.16	$1,399.83	$1,762.10
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 $803.70 / $944.11 / $3,494.00	Professional		$803.70	$944.11	$3,494.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.59 / $1,093.59 / $1,816.60	Professional		$1,093.59	$1,093.59	$1,816.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $977.74 / $977.74 / $977.74	Facility		$977.74	$977.74	$977.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $765.49 / $1,070.48 / $1,839.51	Professional		$765.49	$1,070.48	$1,839.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $868.23 / $868.23 / $934.08	Facility		$868.23	$868.23	$934.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $839.43 / $874.66 / $934.08	Professional		$839.43	$874.66	$934.08
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $2,113.00 / $4,789.00	Facility		$637.00	$2,113.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $764.10 / $1,037.68 / $1,774.83	Professional		$764.10	$1,037.68	$1,774.83