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 $736.14 / $828.18 / $1,203.45	Professional		$736.14	$828.18	$1,203.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,393.00 / $11,479.00 / $18,724.00	Facility		$6,393.00	$11,479.00	$18,724.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $823.01 / $874.81 / $1,488.96	Professional		$823.01	$874.81	$1,488.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $929.96 / $929.96 / $929.96	Facility		$929.96	$929.96	$929.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.42 / $1,001.79 / $1,652.70	Professional		$776.42	$1,001.79	$1,652.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $972.97 / $1,319.01 / $1,680.59	Professional		$972.97	$1,319.01	$1,680.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,350.00 / $10,527.00	Facility		$1,151.00	$5,350.00	$10,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $736.14 / $914.19 / $4,255.31	Professional		$736.14	$914.19	$4,255.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.09 / $1,108.50 / $1,676.20	Professional		$1,052.09	$1,108.50	$1,676.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $929.96 / $929.96 / $929.96	Facility		$929.96	$929.96	$929.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $776.42 / $1,020.20 / $1,695.90	Professional		$776.42	$1,020.20	$1,695.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $800.63 / $800.63 / $1,116.80	Facility		$800.63	$800.63	$1,116.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $775.52 / $805.08 / $1,116.80	Professional		$775.52	$805.08	$1,116.80
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 $743.55 / $984.98 / $1,621.84	Professional		$743.55	$984.98	$1,621.84