Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.00 / $3,745.00 / $8,017.00	Facility		$1,059.00	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.54 / $987.54 / $1,473.41	Professional		$893.54	$987.54	$1,473.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $954.02 / $990.02 / $1,725.27	Professional		$954.02	$990.02	$1,725.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $549.00 / $549.00	Facility		$549.00	$549.00	$549.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.02 / $990.02 / $1,687.31	Professional		$765.02	$990.02	$1,687.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $935.75 / $1,482.09	Professional		$240.00	$935.75	$1,482.09
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 $917.36 / $1,119.00 / $5,148.08	Professional		$917.36	$1,119.00	$5,148.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.10 / $1,008.10 / $1,263.70	Professional		$1,008.10	$1,008.10	$1,263.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $549.00 / $549.00	Facility		$549.00	$549.00	$549.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $780.07 / $1,020.68 / $1,687.31	Professional		$780.07	$1,020.68	$1,687.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $855.08 / $942.90 / $942.90	Facility		$855.08	$942.90	$942.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $855.08 / $942.90 / $1,000.56	Professional		$855.08	$942.90	$1,000.56
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $4,300.00	Facility		$144.00	$650.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $815.91 / $1,097.06 / $1,895.17	Professional		$815.91	$1,097.06	$1,895.17