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 / $8,247.00	Facility		$976.00	$3,830.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.65 / $531.14 / $810.32	Professional		$469.65	$531.14	$810.32
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 $525.52 / $545.35 / $974.56	Professional		$525.52	$545.35	$974.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.91 / $594.91 / $594.91	Facility		$594.91	$594.91	$594.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.39 / $643.39 / $1,049.76	Professional		$488.39	$643.39	$1,049.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $619.15 / $829.20 / $1,069.43	Professional		$619.15	$829.20	$1,069.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,427.00	Facility		$1,020.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $469.65 / $556.05 / $2,691.44	Professional		$469.65	$556.05	$2,691.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $586.00 / $586.00 / $1,112.30	Professional		$586.00	$586.00	$1,112.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $594.91 / $594.91 / $594.91	Facility		$594.91	$594.91	$594.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $649.65 / $1,071.19	Professional		$493.00	$649.65	$1,071.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $514.29 / $514.29 / $550.16	Facility		$514.29	$514.29	$550.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $500.98 / $514.34 / $550.16	Professional		$500.98	$514.34	$550.16
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 $460.11 / $601.50 / $959.23	Professional		$460.11	$601.50	$959.23