Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.95 / $3,066.00 / $7,799.00	Facility		$984.95	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.78 / $933.45 / $1,390.06	Professional		$852.78	$933.45	$1,390.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $950.62 / $1,019.37 / $1,728.10	Professional		$950.62	$1,019.37	$1,728.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,073.55 / $1,073.55 / $1,073.55	Facility		$1,073.55	$1,073.55	$1,073.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.09 / $1,128.52 / $1,882.40	Professional		$868.09	$1,128.52	$1,882.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,123.02 / $1,522.94 / $1,939.77	Professional		$1,123.02	$1,522.94	$1,939.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $984.95 / $3,839.00 / $8,017.00	Facility		$984.95	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $852.78 / $988.77 / $4,679.99	Professional		$852.78	$988.77	$4,679.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.50 / $1,222.50 / $1,932.60	Professional		$1,222.50	$1,222.50	$1,932.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,073.55 / $1,073.55 / $1,073.55	Facility		$1,073.55	$1,073.55	$1,073.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $880.15 / $1,139.71 / $1,913.91	Professional		$880.15	$1,139.71	$1,913.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $926.15 / $926.15 / $1,051.93	Facility		$926.15	$926.15	$1,051.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $896.60 / $931.81 / $1,051.93	Professional		$896.60	$931.81	$1,051.93
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 $885.42 / $1,144.21 / $1,787.43	Professional		$885.42	$1,144.21	$1,787.43