Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.35 / $3,066.00 / $7,799.00	Facility		$890.35	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.34 / $869.59 / $1,250.52	Professional		$776.34	$869.59	$1,250.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $857.02 / $915.70 / $1,641.71	Professional		$857.02	$915.70	$1,641.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $968.65 / $968.65 / $968.65	Facility		$968.65	$968.65	$968.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.46 / $1,055.68 / $1,730.08	Professional		$796.46	$1,055.68	$1,730.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,006.65 / $1,336.72 / $1,738.77	Professional		$1,006.65	$1,336.72	$1,738.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $776.34 / $906.21 / $4,298.74	Professional		$776.34	$906.21	$4,298.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.50 / $1,034.50 / $1,802.60	Professional		$1,034.50	$1,034.50	$1,802.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $968.65 / $968.65 / $968.65	Facility		$968.65	$968.65	$968.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $798.24 / $1,071.50 / $1,764.96	Professional		$798.24	$1,071.50	$1,764.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $842.91 / $842.91 / $940.93	Facility		$842.91	$842.91	$940.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $824.07 / $842.91 / $940.93	Professional		$824.07	$842.91	$940.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $813.18 / $1,048.29 / $1,761.58	Professional		$813.18	$1,048.29	$1,761.58