Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.47 / $4,048.00 / $8,451.00	Facility		$1,085.47	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.84 / $1,058.51 / $1,528.41	Professional		$942.84	$1,058.51	$1,528.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $25,716.00 / $39,341.64	Facility		$8,639.91	$25,716.00	$39,341.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,045.23 / $1,137.82 / $1,931.30	Professional		$1,045.23	$1,137.82	$1,931.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,183.90 / $1,183.90 / $1,183.90	Facility		$1,183.90	$1,183.90	$1,183.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.27 / $1,330.18 / $2,109.23	Professional		$1,008.27	$1,330.18	$2,109.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,229.97 / $1,669.77 / $2,124.48	Professional		$1,229.97	$1,669.77	$2,124.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,085.47 / $4,993.00 / $10,247.00	Facility		$1,085.47	$4,993.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $944.10 / $1,157.33 / $5,139.85	Professional		$944.10	$1,157.33	$5,139.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,508.30 / $1,508.30 / $2,129.60	Professional		$1,508.30	$1,508.30	$2,129.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,183.90 / $1,183.90 / $1,183.90	Facility		$1,183.90	$1,183.90	$1,183.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.27 / $1,335.51 / $2,184.98	Professional		$1,008.27	$1,335.51	$2,184.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,021.21 / $1,021.21 / $1,316.04	Facility		$1,021.21	$1,021.21	$1,316.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $986.64 / $1,029.52 / $1,316.04	Professional		$986.64	$1,029.52	$1,316.04
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 $986.97 / $1,321.07 / $2,127.65	Professional		$986.97	$1,321.07	$2,127.65