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 $814.87 / $903.41 / $1,329.09	Professional		$814.87	$903.41	$1,329.09
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 $908.93 / $972.02 / $1,648.27	Professional		$908.93	$972.02	$1,648.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,027.05 / $1,027.05 / $1,027.05	Facility		$1,027.05	$1,027.05	$1,027.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.89 / $1,089.46 / $1,829.94	Professional		$842.89	$1,089.46	$1,829.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.54 / $1,456.62 / $1,856.02	Professional		$1,074.54	$1,456.62	$1,856.02
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 $814.87 / $1,012.07 / $4,717.50	Professional		$814.87	$1,012.07	$4,717.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.20 / $1,095.20 / $1,849.20	Professional		$1,095.20	$1,095.20	$1,849.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,027.05 / $1,027.05 / $1,027.05	Facility		$1,027.05	$1,027.05	$1,027.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $845.41 / $1,114.72 / $1,865.94	Professional		$845.41	$1,114.72	$1,865.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $885.00 / $885.00 / $1,042.52	Facility		$885.00	$885.00	$1,042.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $857.26 / $889.90 / $1,042.52	Professional		$857.26	$889.90	$1,042.52
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 $827.61 / $1,092.75 / $1,682.93	Professional		$827.61	$1,092.75	$1,682.93