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 $627.94 / $705.46 / $1,002.07	Professional		$627.94	$705.46	$1,002.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $685.29 / $711.15 / $711.15	Professional		$685.29	$711.15	$711.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.94 / $778.94 / $778.94	Facility		$778.94	$778.94	$778.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.54 / $856.47 / $1,410.69	Professional		$649.54	$856.47	$1,410.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $811.59 / $1,077.49 / $1,401.84	Professional		$811.59	$1,077.49	$1,401.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,597.00 / $8,404.00	Facility		$1,013.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $628.08 / $757.54 / $3,737.34	Professional		$628.08	$757.54	$3,737.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $584.40 / $584.40 / $1,580.70	Professional		$584.40	$584.40	$1,580.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $778.94 / $778.94 / $778.94	Facility		$778.94	$778.94	$778.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $659.16 / $872.77 / $1,414.61	Professional		$659.16	$872.77	$1,414.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $622.50 / $674.57 / $674.57	Facility		$622.50	$674.57	$674.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $622.50 / $674.57 / $719.13	Professional		$622.50	$674.57	$719.13
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 $609.41 / $840.81 / $1,337.27	Professional		$609.41	$840.81	$1,337.27