Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,050.00 / $8,451.00	Facility		$1,020.00	$4,050.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.54 / $861.39 / $1,219.60	Professional		$775.54	$861.39	$1,219.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $865.43 / $898.08 / $898.08	Professional		$865.43	$898.08	$898.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $978.32 / $978.32 / $978.32	Facility		$978.32	$978.32	$978.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.20 / $1,036.18 / $1,731.06	Professional		$786.20	$1,036.18	$1,731.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.66 / $1,387.23 / $1,768.14	Professional		$1,023.66	$1,387.23	$1,768.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $4,993.00 / $10,247.00	Facility		$1,054.00	$4,993.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $775.54 / $965.32 / $4,266.57	Professional		$775.54	$965.32	$4,266.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,067.30 / $1,067.30 / $1,761.90	Professional		$1,067.30	$1,067.30	$1,761.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $978.32 / $978.32 / $978.32	Facility		$978.32	$978.32	$978.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $786.20 / $1,040.76 / $1,742.43	Professional		$786.20	$1,040.76	$1,742.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $843.27 / $843.27 / $898.89	Facility		$843.27	$843.27	$898.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $816.75 / $847.75 / $898.89	Professional		$816.75	$847.75	$898.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.90 / $1,012.39 / $1,621.45	Professional		$803.90	$1,012.39	$1,621.45