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 $482.04 / $552.52 / $900.28	Professional		$482.04	$552.52	$900.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $556.89 / $577.91 / $991.01	Professional		$556.89	$577.91	$991.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.01 / $632.01 / $632.01	Facility		$632.01	$632.01	$632.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.75 / $652.54 / $1,116.52	Professional		$474.75	$652.54	$1,116.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $662.19 / $896.13 / $1,143.78	Professional		$662.19	$896.13	$1,143.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $4,993.00 / $10,247.00	Facility		$1,151.00	$4,993.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $482.04 / $605.50 / $2,746.96	Professional		$482.04	$605.50	$2,746.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $598.10 / $598.10 / $1,134.30	Professional		$598.10	$598.10	$1,134.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $632.01 / $632.01 / $632.01	Facility		$632.01	$632.01	$632.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $482.59 / $665.72 / $1,116.52	Professional		$482.59	$665.72	$1,116.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $523.25 / $539.01 / $539.01	Facility		$523.25	$539.01	$539.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $523.25 / $539.01 / $573.80	Professional		$523.25	$539.01	$573.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.08 / $642.97 / $1,081.50	Professional		$473.08	$642.97	$1,081.50