Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.14 / $4,063.00 / $10,398.00	Facility		$834.14	$4,063.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.84 / $719.11 / $949.93	Professional		$592.84	$719.11	$949.93
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 $793.99 / $823.96 / $823.96	Professional		$793.99	$823.96	$823.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.85 / $1,084.85 / $1,084.85	Facility		$1,084.85	$1,084.85	$1,084.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $620.55 / $843.06 / $1,430.99	Professional		$620.55	$843.06	$1,430.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $943.29 / $1,262.46 / $1,629.33	Professional		$943.29	$1,262.46	$1,629.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,350.00 / $11,083.00	Facility		$1,301.00	$5,350.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $593.73 / $799.55 / $3,216.00	Professional		$593.73	$799.55	$3,216.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $777.40 / $777.40 / $1,788.30	Professional		$777.40	$777.40	$1,788.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,084.85 / $1,084.85 / $1,084.85	Facility		$1,084.85	$1,084.85	$1,084.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $636.69 / $852.59 / $1,457.45	Professional		$636.69	$852.59	$1,457.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $627.39 / $643.58 / $788.06	Facility		$627.39	$643.58	$788.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $627.39 / $766.53 / $836.39	Professional		$627.39	$766.53	$836.39
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 $698.40 / $933.72 / $1,467.23	Professional		$698.40	$933.72	$1,467.23