Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $3,745.00 / $8,017.00	Facility		$1,084.00	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.75 / $1,239.35 / $1,668.27	Professional		$1,053.75	$1,239.35	$1,668.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,187.51 / $1,232.32 / $2,046.87	Professional		$1,187.51	$1,232.32	$2,046.87
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 $933.93 / $1,187.43 / $2,003.05	Professional		$933.93	$1,187.43	$2,003.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,432.91 / $1,432.91 / $1,847.78	Professional		$1,432.91	$1,432.91	$1,847.78
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 $1,089.32 / $1,329.46 / $5,958.00	Professional		$1,089.32	$1,329.46	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,101.70 / $1,101.70 / $1,101.70	Professional		$1,101.70	$1,101.70	$1,101.70
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 $942.91 / $1,232.32 / $2,003.05	Professional		$942.91	$1,232.32	$2,003.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,044.14 / $1,178.21 / $1,178.21	Facility		$1,044.14	$1,178.21	$1,178.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,044.14 / $1,178.21 / $1,251.77	Professional		$1,044.14	$1,178.21	$1,251.77
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 $926.11 / $1,267.85 / $2,234.36	Professional		$926.11	$1,267.85	$2,234.36