Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.00 / $3,529.30 / $15,416.00	Facility		$1,514.00	$3,529.30	$15,416.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,796.67 / $1,832.07 / $1,832.07	Professional		$1,796.67	$1,832.07	$1,832.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $847.02 / $8,459.92 / $79,506.39	Facility		$847.02	$8,459.92	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $835.10 / $866.61 / $1,420.80	Professional		$835.10	$866.61	$1,420.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,106.40 / $2,762.23 / $6,507.00	Facility		$1,106.40	$2,762.23	$6,507.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,276.56 / $2,136.82 / $4,354.58	Professional		$1,276.56	$2,136.82	$4,354.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $890.57 / $1,192.64 / $1,324.98	Professional		$890.57	$1,192.64	$1,324.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,514.00 / $3,529.30 / $7,527.00	Facility		$1,514.00	$3,529.30	$7,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,571.07 / $1,796.67 / $5,065.00	Professional		$1,571.07	$1,796.67	$5,065.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,272.00 / $1,446.91 / $1,566.21	Professional		$1,272.00	$1,446.91	$1,566.21
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,104.44 / $2,474.25 / $5,752.97	Facility		$1,104.44	$2,474.25	$5,752.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.56 / $2,136.82 / $4,354.58	Professional		$1,276.56	$2,136.82	$4,354.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $712.86 / $816.55 / $816.55	Facility		$712.86	$816.55	$816.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $712.86 / $816.55 / $925.16	Professional		$712.86	$816.55	$925.16
United Facility/Professional Professional Modifier Low / Median / High Price $709.05 / $968.08 / $1,494.29	Professional		$709.05	$968.08	$1,494.29