Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $4,223.00 / $10,247.00	Facility		$1,054.00	$4,223.00	$10,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.65 / $799.42 / $1,176.73	Professional		$719.65	$799.42	$1,176.73
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 $804.73 / $860.67 / $1,462.21	Professional		$804.73	$860.67	$1,462.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.50 / $909.50 / $909.50	Facility		$909.50	$909.50	$909.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.04 / $964.16 / $1,597.90	Professional		$705.04	$964.16	$1,597.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $951.67 / $1,290.13 / $1,643.79	Professional		$951.67	$1,290.13	$1,643.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,424.00 / $10,527.00	Facility		$1,151.00	$5,424.00	$10,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $719.65 / $895.34 / $4,177.27	Professional		$719.65	$895.34	$4,177.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $998.30 / $1,074.56 / $1,638.10	Professional		$998.30	$1,074.56	$1,638.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $909.50 / $909.50 / $909.50	Facility		$909.50	$909.50	$909.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $711.95 / $975.55 / $1,616.14	Professional		$711.95	$975.55	$1,616.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $782.88 / $782.88 / $986.46	Facility		$782.88	$782.88	$986.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.36 / $787.18 / $986.46	Professional		$758.36	$787.18	$986.46
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 $706.78 / $927.08 / $1,490.15	Professional		$706.78	$927.08	$1,490.15