Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $7,799.00	Facility		$882.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.45 / $747.83 / $1,039.99	Professional		$673.45	$747.83	$1,039.99
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 $751.77 / $780.14 / $1,234.97	Professional		$751.77	$780.14	$1,234.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $849.99 / $849.99 / $849.99	Facility		$849.99	$849.99	$849.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.06 / $914.60 / $1,510.49	Professional		$694.06	$914.60	$1,510.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $888.32 / $1,199.22 / $1,534.36	Professional		$888.32	$1,199.22	$1,534.36
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 $686.34 / $785.80 / $3,711.28	Professional		$686.34	$785.80	$3,711.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $780.00 / $1,532.60	Professional		$780.00	$780.00	$1,532.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $849.99 / $849.99 / $849.99	Facility		$849.99	$849.99	$849.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $694.39 / $924.88 / $1,543.29	Professional		$694.39	$924.88	$1,543.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $733.56 / $733.56 / $733.65	Facility		$733.56	$733.56	$733.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $712.13 / $733.65 / $777.88	Professional		$712.13	$733.65	$777.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.24 / $877.99 / $1,423.75	Professional		$653.24	$877.99	$1,423.75