Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,072.32 / $4,048.00 / $8,451.00	Facility		$1,072.32	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.85 / $1,056.15 / $1,519.36	Professional		$930.85	$1,056.15	$1,519.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,393.00 / $11,479.00 / $18,724.00	Facility		$6,393.00	$11,479.00	$18,724.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,039.04 / $1,112.23 / $1,888.98	Professional		$1,039.04	$1,112.23	$1,888.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.49 / $1,172.49 / $1,172.49	Facility		$1,172.49	$1,172.49	$1,172.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $979.98 / $1,274.30 / $2,083.67	Professional		$979.98	$1,274.30	$2,083.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.85 / $1,656.06 / $2,115.67	Professional		$1,224.85	$1,656.06	$2,115.67
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 $930.85 / $1,206.88 / $5,104.02	Professional		$930.85	$1,206.88	$5,104.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,295.09 / $1,295.09 / $2,125.69	Professional		$1,295.09	$1,295.09	$2,125.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,172.49 / $1,172.49 / $1,172.49	Facility		$1,172.49	$1,172.49	$1,172.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $979.98 / $1,291.44 / $2,160.14	Professional		$979.98	$1,291.44	$2,160.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,012.43 / $1,012.43 / $1,146.53	Facility		$1,012.43	$1,012.43	$1,146.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $980.90 / $1,017.87 / $1,146.53	Professional		$980.90	$1,017.87	$1,146.53
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 $959.21 / $1,255.58 / $2,065.81	Professional		$959.21	$1,255.58	$2,065.81