Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $3,745.00 / $8,017.00	Facility		$1,068.00	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.70 / $1,102.90 / $1,321.49	Professional		$1,000.70	$1,102.90	$1,321.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,077.52 / $1,118.18 / $1,118.18	Professional		$1,077.52	$1,118.18	$1,118.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.82 / $1,219.51 / $2,166.16	Professional		$942.82	$1,219.51	$2,166.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,287.32 / $1,655.13 / $1,713.15	Professional		$1,287.32	$1,655.13	$1,713.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,032.17 / $1,206.48 / $5,716.49	Professional		$1,032.17	$1,206.48	$5,716.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.20 / $1,225.20 / $1,287.30	Professional		$1,225.20	$1,225.20	$1,287.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,214.91 / $1,214.91 / $1,214.91	Facility		$1,214.91	$1,214.91	$1,214.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $998.28 / $1,242.94 / $2,204.48	Professional		$998.28	$1,242.94	$2,204.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,052.99 / $1,052.99 / $1,118.63	Facility		$1,052.99	$1,052.99	$1,118.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,052.99 / $1,058.56 / $1,118.63	Professional		$1,052.99	$1,058.56	$1,118.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,843.00 / $3,879.00 / $7,508.00	Facility		$1,843.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $961.80 / $1,213.71 / $2,083.94	Professional		$961.80	$1,213.71	$2,083.94