Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.32 / $3,066.00 / $7,799.00	Facility		$1,055.32	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.45 / $1,027.07 / $1,490.60	Professional		$914.45	$1,027.07	$1,490.60
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 $1,019.38 / $1,095.90 / $1,858.84	Professional		$1,019.38	$1,095.90	$1,858.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.55 / $1,150.55 / $1,150.55	Facility		$1,150.55	$1,150.55	$1,150.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $959.29 / $1,283.33 / $2,060.69	Professional		$959.29	$1,283.33	$2,060.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,203.40 / $1,632.48 / $2,078.60	Professional		$1,203.40	$1,632.48	$2,078.60
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 $914.45 / $1,114.88 / $5,011.91	Professional		$914.45	$1,114.88	$5,011.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,397.80 / $1,397.80 / $2,072.19	Professional		$1,397.80	$1,397.80	$2,072.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,150.55 / $1,150.55 / $1,150.55	Facility		$1,150.55	$1,150.55	$1,150.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $957.94 / $1,298.26 / $2,108.09	Professional		$957.94	$1,298.26	$2,108.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $993.15 / $993.15 / $1,160.34	Facility		$993.15	$993.15	$1,160.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $961.17 / $999.53 / $1,160.34	Professional		$961.17	$999.53	$1,160.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $965.54 / $1,283.39 / $2,027.10	Professional		$965.54	$1,283.39	$2,027.10