Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $9,211.00	Facility		$1,013.00	$3,964.00	$9,211.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.60 / $807.06 / $1,161.94	Professional		$732.60	$807.06	$1,161.94
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 $823.68 / $962.05 / $1,405.64	Professional		$823.68	$962.05	$1,405.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.23 / $943.23 / $943.23	Facility		$943.23	$943.23	$943.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $777.06 / $985.41 / $1,685.60	Professional		$777.06	$985.41	$1,685.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $985.62 / $1,331.04 / $1,702.44	Professional		$985.62	$1,331.04	$1,702.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $9,211.00	Facility		$1,020.00	$4,761.00	$9,211.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $718.65 / $887.52 / $4,223.39	Professional		$718.65	$887.52	$4,223.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,765.60	Professional		$1,000.00	$1,000.00	$1,765.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $943.23 / $943.23 / $943.23	Facility		$943.23	$943.23	$943.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $778.77 / $1,001.28 / $1,724.59	Professional		$778.77	$1,001.28	$1,724.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $818.25 / $818.25 / $872.13	Facility		$818.25	$818.25	$872.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $798.52 / $818.25 / $876.30	Professional		$798.52	$818.25	$876.30
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 $742.51 / $979.98 / $1,559.04	Professional		$742.51	$979.98	$1,559.04