Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,066.92 / $3,745.00 / $8,017.00	Facility		$1,066.92	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.85 / $994.42 / $1,338.72	Professional		$856.85	$994.42	$1,338.72
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 $954.71 / $990.74 / $1,668.74	Professional		$954.71	$990.74	$1,668.74
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 $759.65 / $973.80 / $1,678.01	Professional		$759.65	$973.80	$1,678.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,152.05 / $1,152.05 / $1,485.60	Professional		$1,152.05	$1,152.05	$1,485.60
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 $865.42 / $1,105.91 / $5,054.00	Professional		$865.42	$1,105.91	$5,054.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $874.80 / $874.80 / $874.80	Professional		$874.80	$874.80	$874.80
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 $762.79 / $1,001.33 / $1,678.01	Professional		$762.79	$1,001.33	$1,678.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $799.25 / $946.23 / $946.23	Facility		$799.25	$946.23	$946.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $799.25 / $946.23 / $1,005.29	Professional		$799.25	$946.23	$1,005.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $775.61 / $1,035.99 / $1,763.72	Professional		$775.61	$1,035.99	$1,763.72