Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,048.00 / $8,451.00	Facility		$1,020.00	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.59 / $831.05 / $1,150.53	Professional		$730.59	$831.05	$1,150.53
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 $834.28 / $865.77 / $1,422.52	Professional		$834.28	$865.77	$1,422.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $942.61 / $942.61 / $942.61	Facility		$942.61	$942.61	$942.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.96 / $1,004.00 / $1,638.47	Professional		$785.96	$1,004.00	$1,638.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $986.18 / $1,336.99 / $1,703.41	Professional		$986.18	$1,336.99	$1,703.41
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 $730.59 / $874.75 / $4,006.60	Professional		$730.59	$874.75	$4,006.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.00 / $1,082.00 / $1,689.80	Professional		$1,082.00	$1,082.00	$1,689.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $942.61 / $942.61 / $942.61	Facility		$942.61	$942.61	$942.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $785.96 / $1,023.18 / $1,680.99	Professional		$785.96	$1,023.18	$1,680.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $812.09 / $812.09 / $1,059.75	Facility		$812.09	$812.09	$1,059.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $786.49 / $816.72 / $1,059.75	Professional		$786.49	$816.72	$1,059.75
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 $770.45 / $995.53 / $1,589.69	Professional		$770.45	$995.53	$1,589.69