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 $1,167.74 / $1,415.72 / $1,913.10	Professional		$1,167.74	$1,415.72	$1,913.10
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 $1,342.28 / $1,392.93 / $2,247.84	Professional		$1,342.28	$1,392.93	$2,247.84
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 $1,053.08 / $1,344.80 / $2,255.42	Professional		$1,053.08	$1,344.80	$2,255.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,630.40 / $1,630.40 / $2,102.44	Professional		$1,630.40	$1,630.40	$2,102.44
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 $1,170.51 / $1,530.35 / $5,992.00	Professional		$1,170.51	$1,530.35	$5,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.80 / $1,284.80 / $1,284.80	Professional		$1,284.80	$1,284.80	$1,284.80
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 $1,076.35 / $1,392.93 / $2,255.42	Professional		$1,076.35	$1,392.93	$2,255.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,161.47 / $1,344.11 / $1,344.11	Facility		$1,161.47	$1,344.11	$1,344.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,161.47 / $1,344.11 / $1,433.65	Professional		$1,161.47	$1,344.11	$1,433.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,368.00	Facility		$1,440.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,097.10 / $1,435.25 / $2,497.64	Professional		$1,097.10	$1,435.25	$2,497.64