Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.83 / $2,747.00 / $8,017.00	Facility		$1,048.83	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.96 / $989.96 / $1,518.63	Professional		$909.96	$989.96	$1,518.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,011.30 / $1,049.47 / $1,864.32	Professional		$1,011.30	$1,049.47	$1,864.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,143.33 / $1,143.33 / $1,143.33	Facility		$1,143.33	$1,143.33	$1,143.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.70 / $1,210.31 / $1,991.51	Professional		$946.70	$1,210.31	$1,991.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.96 / $1,617.37 / $2,058.84	Professional		$1,191.96	$1,617.37	$2,058.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,077.00 / $8,017.00	Facility		$954.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $909.96 / $1,051.73 / $4,575.00	Professional		$909.96	$1,051.73	$4,575.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,945.20 / $2,566.60	Professional		$5.00	$1,945.20	$2,566.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,143.33 / $1,143.33 / $1,143.33	Facility		$1,143.33	$1,143.33	$1,143.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $946.70 / $1,225.27 / $2,029.94	Professional		$946.70	$1,225.27	$2,029.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $878.31 / $987.20 / $987.20	Facility		$878.31	$987.20	$987.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $878.31 / $987.20 / $1,043.82	Professional		$878.31	$987.20	$1,043.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $2,824.00 / $5,678.00	Facility		$1,747.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $880.86 / $1,206.39 / $1,922.30	Professional		$880.86	$1,206.39	$1,922.30