Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $2,747.00 / $8,017.00	Facility		$1,028.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.20 / $1,154.81 / $1,728.94	Professional		$908.20	$1,154.81	$1,728.94
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 $1,128.36 / $1,170.95 / $2,099.71	Professional		$1,128.36	$1,170.95	$2,099.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.03 / $1,152.69 / $2,009.86	Professional		$903.03	$1,152.69	$2,009.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.63 / $1,350.63 / $1,741.66	Professional		$1,350.63	$1,350.63	$1,741.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,389.00 / $8,017.00	Facility		$954.00	$3,389.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $979.59 / $1,301.00 / $4,575.00	Professional		$979.59	$1,301.00	$4,575.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.90 / $933.90 / $2,007.94	Professional		$933.90	$933.90	$2,007.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $912.16 / $1,189.47 / $2,009.86	Professional		$912.16	$1,189.47	$2,009.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,109.89 / $1,109.89 / $1,154.67	Facility		$1,109.89	$1,109.89	$1,154.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,086.34 / $1,109.89 / $1,173.18	Professional		$1,086.34	$1,109.89	$1,173.18
United Facility/Professional Facility Modifier Low / Median / High Price $412.00 / $1,106.00 / $3,742.00	Facility		$412.00	$1,106.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $943.98 / $1,324.53 / $2,219.28	Professional		$943.98	$1,324.53	$2,219.28