Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $4,761.00 / $8,451.00	Facility		$1,426.00	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.65 / $1,389.81 / $1,904.11	Professional		$1,165.65	$1,389.81	$1,904.11
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 $1,334.67 / $1,385.03 / $2,234.46	Professional		$1,334.67	$1,385.03	$2,234.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.00 / $771.00 / $771.00	Facility		$771.00	$771.00	$771.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.97 / $1,337.27 / $2,192.71	Professional		$1,053.97	$1,337.27	$2,192.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,620.85 / $1,620.85 / $2,090.13	Professional		$1,620.85	$1,620.85	$2,090.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,342.00 / $9,617.00	Facility		$1,151.00	$5,342.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,165.65 / $1,523.41 / $7,004.87	Professional		$1,165.65	$1,523.41	$7,004.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,394.50 / $1,394.50 / $1,394.50	Professional		$1,394.50	$1,394.50	$1,394.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $771.00 / $771.00 / $771.00	Facility		$771.00	$771.00	$771.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,069.82 / $1,385.04 / $2,192.71	Professional		$1,069.82	$1,385.04	$2,192.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,158.40 / $1,337.20 / $1,337.20	Facility		$1,158.40	$1,337.20	$1,337.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,158.40 / $1,337.20 / $1,426.40	Professional		$1,158.40	$1,337.20	$1,426.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $5,509.00 / $12,137.37	Facility		$2,332.00	$5,509.00	$12,137.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,099.81 / $1,481.55 / $2,521.88	Professional		$1,099.81	$1,481.55	$2,521.88