Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.25 / $2,791.00 / $7,629.00	Facility		$955.25	$2,791.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.88 / $917.12 / $1,348.78	Professional		$826.88	$917.12	$1,348.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $922.39 / $987.69 / $1,673.60	Professional		$922.39	$987.69	$1,673.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,041.93 / $1,041.93 / $1,041.93	Facility		$1,041.93	$1,041.93	$1,041.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.70 / $1,156.73 / $1,856.20	Professional		$888.70	$1,156.73	$1,856.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.05 / $1,478.04 / $1,882.81	Professional		$1,090.05	$1,478.04	$1,882.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,838.00 / $8,017.00	Facility		$1,013.00	$3,838.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $826.88 / $1,030.85 / $4,540.60	Professional		$826.88	$1,030.85	$4,540.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,323.00 / $1,323.00 / $1,875.00	Professional		$1,323.00	$1,323.00	$1,875.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,041.93 / $1,041.93 / $1,041.93	Facility		$1,041.93	$1,041.93	$1,041.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $888.70 / $1,174.74 / $1,949.91	Professional		$888.70	$1,174.74	$1,949.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $898.57 / $898.57 / $1,142.22	Facility		$898.57	$898.57	$1,142.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $870.08 / $903.88 / $1,142.22	Professional		$870.08	$903.88	$1,142.22
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 $878.95 / $1,171.68 / $1,801.91	Professional		$878.95	$1,171.68	$1,801.91