Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,830.00 / $8,240.00	Facility		$976.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.31 / $876.98 / $1,281.51	Professional		$785.31	$876.98	$1,281.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $876.39 / $933.26 / $1,587.36	Professional		$876.39	$933.26	$1,587.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $990.60 / $990.60 / $990.60	Facility		$990.60	$990.60	$990.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.50 / $1,055.57 / $1,764.13	Professional		$799.50	$1,055.57	$1,764.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,036.41 / $1,404.37 / $1,790.16	Professional		$1,036.41	$1,404.37	$1,790.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $785.31 / $973.10 / $4,545.74	Professional		$785.31	$973.10	$4,545.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.30 / $1,049.30 / $1,783.50	Professional		$1,049.30	$1,049.30	$1,783.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $990.60 / $990.60 / $990.60	Facility		$990.60	$990.60	$990.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $808.38 / $1,086.64 / $1,797.45	Professional		$808.38	$1,086.64	$1,797.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $853.48 / $853.48 / $902.42	Facility		$853.48	$853.48	$902.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $826.92 / $858.00 / $904.88	Professional		$826.92	$858.00	$904.88
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 $813.97 / $1,051.93 / $1,641.92	Professional		$813.97	$1,051.93	$1,641.92