Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.83 / $4,048.00 / $8,451.00	Facility		$1,076.83	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.72 / $1,040.93 / $1,521.79	Professional		$932.72	$1,040.93	$1,521.79
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 $1,040.71 / $1,117.84 / $1,896.82	Professional		$1,040.71	$1,117.84	$1,896.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,175.09 / $1,175.09 / $1,175.09	Facility		$1,175.09	$1,175.09	$1,175.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.57 / $1,255.63 / $2,092.46	Professional		$950.57	$1,255.63	$2,092.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,229.13 / $1,666.65 / $2,123.04	Professional		$1,229.13	$1,666.65	$2,123.04
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 $932.72 / $1,132.24 / $5,117.01	Professional		$932.72	$1,132.24	$5,117.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.40 / $1,284.40 / $2,118.40	Professional		$1,284.40	$1,284.40	$2,118.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,175.09 / $1,175.09 / $1,175.09	Facility		$1,175.09	$1,175.09	$1,175.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $966.07 / $1,289.05 / $2,150.54	Professional		$966.07	$1,289.05	$2,150.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,013.99 / $1,013.99 / $1,069.89	Facility		$1,013.99	$1,013.99	$1,069.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $981.64 / $1,020.19 / $1,073.85	Professional		$981.64	$1,020.19	$1,073.85
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 $970.85 / $1,254.72 / $2,103.67	Professional		$970.85	$1,254.72	$2,103.67