Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,774.33 / $8,017.00	Facility		$882.00	$2,774.33	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.05 / $1,215.78 / $2,774.33	Professional		$196.05	$1,215.78	$2,774.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,913.23 / $2,778.34 / $3,742.29	Professional		$1,913.23	$2,778.34	$3,742.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.16 / $1,692.59 / $3,614.49	Professional		$243.16	$1,692.59	$3,614.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,684.85 / $3,562.27 / $3,710.70	Professional		$2,684.85	$3,562.27	$3,710.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,120.00 / $8,017.00	Facility		$934.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.41 / $1,226.88 / $2,822.58	Professional		$204.41	$1,226.88	$2,822.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3,023.00 / $6,872.40	Professional		$3.00	$3,023.00	$6,872.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $244.94 / $1,641.68 / $3,614.49	Professional		$244.94	$1,641.68	$3,614.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $215.99 / $216.61 / $2,284.67	Facility		$215.99	$216.61	$2,284.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $215.99 / $1,309.08 / $2,503.17	Professional		$215.99	$1,309.08	$2,503.17
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $4,789.00	Facility		$912.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,620.66 / $2,335.17 / $4,064.23	Professional		$1,620.66	$2,335.17	$4,064.23