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 $677.68 / $763.94 / $1,192.46	Professional		$677.68	$763.94	$1,192.46
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 $754.60 / $783.08 / $1,157.68	Professional		$754.60	$783.08	$1,157.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.48 / $855.48 / $855.48	Facility		$855.48	$855.48	$855.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.76 / $928.64 / $1,509.45	Professional		$716.76	$928.64	$1,509.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $883.97 / $1,184.47 / $1,526.86	Professional		$883.97	$1,184.47	$1,526.86
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 $685.39 / $835.41 / $3,899.14	Professional		$685.39	$835.41	$3,899.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $929.60 / $929.60 / $1,706.80	Professional		$929.60	$929.60	$1,706.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $855.48 / $855.48 / $855.48	Facility		$855.48	$855.48	$855.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $729.51 / $948.01 / $1,552.77	Professional		$729.51	$948.01	$1,552.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $739.45 / $739.45 / $805.65	Facility		$739.45	$739.45	$805.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $718.54 / $741.37 / $805.65	Professional		$718.54	$741.37	$805.65
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 $715.93 / $934.16 / $1,498.56	Professional		$715.93	$934.16	$1,498.56