Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.15 / $715.15 / $876.80	Facility		$715.15	$715.15	$876.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.16 / $836.09 / $1,249.20	Professional		$657.16	$836.09	$1,249.20
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 $883.04 / $916.37 / $916.37	Professional		$883.04	$916.37	$916.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,228.44 / $1,228.44 / $1,228.44	Facility		$1,228.44	$1,228.44	$1,228.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.16 / $1,048.53 / $1,743.41	Professional		$747.16	$1,048.53	$1,743.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.11 / $1,367.65 / $1,781.02	Professional		$1,031.11	$1,367.65	$1,781.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $715.15 / $715.15 / $876.80	Facility		$715.15	$715.15	$876.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $684.05 / $876.80 / $2,604.09	Professional		$684.05	$876.80	$2,604.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,152.90 / $1,152.90 / $2,054.69	Professional		$1,152.90	$1,152.90	$2,054.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,228.44 / $1,228.44 / $1,228.44	Facility		$1,228.44	$1,228.44	$1,228.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $747.16 / $1,060.08 / $1,798.73	Professional		$747.16	$1,060.08	$1,798.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $692.55 / $790.78 / $970.06	Facility		$692.55	$790.78	$970.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $692.55 / $820.49 / $886.23	Professional		$692.55	$820.49	$886.23
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $851.26 / $1,133.68 / $1,815.24	Professional		$851.26	$1,133.68	$1,815.24