Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.06 / $2,326.00 / $7,629.00	Facility		$777.06	$2,326.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.21 / $742.76 / $1,061.96	Professional		$679.21	$742.76	$1,061.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $748.77 / $913.95 / $1,268.31	Professional		$748.77	$913.95	$1,268.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.80 / $852.80 / $852.80	Facility		$852.80	$852.80	$852.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.93 / $919.83 / $1,509.96	Professional		$722.93	$919.83	$1,509.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $874.63 / $1,190.29 / $1,510.73	Professional		$874.63	$1,190.29	$1,510.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $777.06 / $2,266.00 / $8,017.00	Facility		$777.06	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $679.21 / $777.06 / $3,654.25	Professional		$679.21	$777.06	$3,654.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.00 / $1,877.20 / $1,877.20	Professional		$1,509.00	$1,877.20	$1,877.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $852.80 / $852.80 / $852.80	Facility		$852.80	$852.80	$852.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $722.93 / $936.23 / $1,515.17	Professional		$722.93	$936.23	$1,515.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $734.38 / $734.38 / $802.65	Facility		$734.38	$734.38	$802.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $706.44 / $743.57 / $802.65	Professional		$706.44	$743.57	$802.65
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.44 / $902.27 / $1,438.38	Professional		$712.44	$902.27	$1,438.38