Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,048.00 / $8,451.00	Facility		$1,020.00	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.63 / $788.17 / $1,158.89	Professional		$708.63	$788.17	$1,158.89
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 $792.53 / $842.82 / $1,428.18	Professional		$792.53	$842.82	$1,428.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $896.48 / $896.48 / $896.48	Facility		$896.48	$896.48	$896.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.64 / $956.36 / $1,592.86	Professional		$725.64	$956.36	$1,592.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $938.23 / $1,271.16 / $1,620.59	Professional		$938.23	$1,271.16	$1,620.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $4,993.00 / $10,247.00	Facility		$1,151.00	$4,993.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $708.63 / $852.53 / $3,904.19	Professional		$708.63	$852.53	$3,904.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,109.70 / $1,109.70 / $1,612.20	Professional		$1,109.70	$1,109.70	$1,612.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $896.48 / $896.48 / $896.48	Facility		$896.48	$896.48	$896.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $734.49 / $977.21 / $1,619.14	Professional		$734.49	$977.21	$1,619.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $771.25 / $771.25 / $880.99	Facility		$771.25	$771.25	$880.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $747.92 / $774.88 / $880.99	Professional		$747.92	$774.88	$880.99
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 $693.05 / $948.70 / $1,560.89	Professional		$693.05	$948.70	$1,560.89