Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,254.00 / $10,398.00	Facility		$1,013.00	$5,254.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.57 / $892.18 / $1,170.26	Professional		$824.57	$892.18	$1,170.26
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 $796.04 / $1,264.59 / $1,705.21	Professional		$796.04	$1,264.59	$1,705.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.15 / $1,150.41 / $1,874.03	Professional		$847.15	$1,150.41	$1,874.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,077.95 / $1,430.01 / $1,444.48	Professional		$1,077.95	$1,430.01	$1,444.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,511.00 / $11,083.00	Facility		$1,301.00	$5,511.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $824.57 / $958.55 / $4,813.22	Professional		$824.57	$958.55	$4,813.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,181.90 / $2,410.60	Professional		$5.00	$1,181.90	$2,410.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $882.62 / $1,180.34 / $1,916.69	Professional		$882.62	$1,180.34	$1,916.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $902.10 / $902.10 / $1,117.30	Facility		$902.10	$902.10	$1,117.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $880.79 / $902.10 / $1,117.30	Professional		$880.79	$902.10	$1,117.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $1,080.00 / $1,790.27	Professional		$784.55	$1,080.00	$1,790.27