Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.92 / $4,050.00 / $8,451.00	Facility		$1,079.92	$4,050.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.57 / $1,017.82 / $1,329.42	Professional		$935.57	$1,017.82	$1,329.42
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 $1,043.55 / $1,087.24 / $1,903.57	Professional		$1,043.55	$1,087.24	$1,903.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,178.07 / $1,178.07 / $1,178.07	Facility		$1,178.07	$1,178.07	$1,178.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.12 / $1,246.56 / $2,064.71	Professional		$984.12	$1,246.56	$2,064.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,232.20 / $1,671.08 / $2,128.34	Professional		$1,232.20	$1,671.08	$2,128.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,342.00 / $10,247.00	Facility		$1,151.00	$5,342.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $935.57 / $1,102.31 / $5,130.14	Professional		$935.57	$1,102.31	$5,130.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.59 / $1,220.59 / $2,123.00	Professional		$1,220.59	$1,220.59	$2,123.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,178.07 / $1,178.07 / $1,178.07	Facility		$1,178.07	$1,178.07	$1,178.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $984.12 / $1,267.38 / $2,098.44	Professional		$984.12	$1,267.38	$2,098.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,017.08 / $1,017.08 / $1,069.54	Facility		$1,017.08	$1,017.08	$1,069.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $984.46 / $1,023.48 / $1,076.93	Professional		$984.46	$1,023.48	$1,076.93
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 $944.69 / $1,236.18 / $1,965.67	Professional		$944.69	$1,236.18	$1,965.67