Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.37 / $3,589.00 / $8,240.00	Facility		$675.37	$3,589.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.19 / $621.28 / $931.07	Professional		$506.19	$621.28	$931.07
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 $636.73 / $660.76 / $879.03	Professional		$636.73	$660.76	$879.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.23 / $910.23 / $910.23	Facility		$910.23	$910.23	$910.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.97 / $754.68 / $1,248.46	Professional		$554.97	$754.68	$1,248.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $760.31 / $1,010.79 / $1,313.26	Professional		$760.31	$1,010.79	$1,313.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,534.00 / $8,404.00	Facility		$1,013.00	$4,534.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $517.25 / $683.08 / $2,843.00	Professional		$517.25	$683.08	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $570.40 / $570.40 / $1,716.80	Professional		$570.40	$570.40	$1,716.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $910.23 / $910.23 / $910.23	Facility		$910.23	$910.23	$910.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $559.34 / $765.18 / $1,346.94	Professional		$559.34	$765.18	$1,346.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $463.54 / $528.83 / $623.67	Facility		$463.54	$528.83	$623.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $519.00 / $564.26 / $668.67	Professional		$519.00	$564.26	$668.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,781.00 / $4,300.00 / $10,438.16	Facility		$1,781.00	$4,300.00	$10,438.16
United Facility/Professional Professional Modifier Low / Median / High Price $570.39 / $801.09 / $1,336.48	Professional		$570.39	$801.09	$1,336.48