Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,830.00 / $8,240.00	Facility		$976.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.70 / $682.17 / $968.53	Professional		$605.70	$682.17	$968.53
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 $662.35 / $687.35 / $687.35	Professional		$662.35	$687.35	$687.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.12 / $755.12 / $755.12	Facility		$755.12	$755.12	$755.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.17 / $853.40 / $1,402.93	Professional		$641.17	$853.40	$1,402.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $790.00 / $1,057.42 / $1,364.54	Professional		$790.00	$1,057.42	$1,364.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $612.38 / $754.25 / $3,491.98	Professional		$612.38	$754.25	$3,491.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $565.50 / $565.50 / $1,625.70	Professional		$565.50	$565.50	$1,625.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $755.12 / $755.12 / $755.12	Facility		$755.12	$755.12	$755.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $642.16 / $865.28 / $1,421.24	Professional		$642.16	$865.28	$1,421.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $654.95 / $654.95 / $761.00	Facility		$654.95	$654.95	$761.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $641.51 / $654.95 / $761.00	Professional		$641.51	$654.95	$761.00
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 $574.87 / $784.47 / $1,274.05	Professional		$574.87	$784.47	$1,274.05