Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,431.00 / $8,240.00	Facility		$1,020.00	$3,431.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.89 / $838.03 / $1,212.21	Professional		$741.89	$838.03	$1,212.21
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 $853.47 / $885.68 / $1,468.83	Professional		$853.47	$885.68	$1,468.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $976.05 / $976.05 / $976.05	Facility		$976.05	$976.05	$976.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.80 / $1,008.26 / $1,740.15	Professional		$756.80	$1,008.26	$1,740.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,020.17 / $1,378.63 / $1,762.12	Professional		$1,020.17	$1,378.63	$1,762.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,534.00 / $8,404.00	Facility		$1,020.00	$4,534.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $786.27 / $918.14 / $4,415.27	Professional		$786.27	$918.14	$4,415.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $963.40 / $963.40 / $1,824.40	Professional		$963.40	$963.40	$1,824.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $976.05 / $976.05 / $976.05	Facility		$976.05	$976.05	$976.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $761.19 / $1,027.83 / $1,762.47	Professional		$761.19	$1,027.83	$1,762.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $842.67 / $847.63 / $847.63	Facility		$842.67	$847.63	$847.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $826.58 / $847.63 / $906.92	Professional		$826.58	$847.63	$906.92
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 $750.37 / $1,009.02 / $1,668.73	Professional		$750.37	$1,009.02	$1,668.73