Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.60 / $3,589.00 / $8,240.00	Facility		$816.60	$3,589.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.13 / $714.70 / $1,029.41	Professional		$601.13	$714.70	$1,029.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $748.00 / $776.23 / $776.23	Professional		$748.00	$776.23	$776.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,048.86 / $1,048.86 / $1,048.86	Facility		$1,048.86	$1,048.86	$1,048.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.82 / $825.84 / $1,397.19	Professional		$599.82	$825.84	$1,397.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $899.72 / $1,196.94 / $1,554.07	Professional		$899.72	$1,196.94	$1,554.07
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 $607.89 / $791.09 / $3,315.96	Professional		$607.89	$791.09	$3,315.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.29 / $524.29 / $1,667.40	Professional		$524.29	$524.29	$1,667.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,048.86 / $1,048.86 / $1,048.86	Facility		$1,048.86	$1,048.86	$1,048.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $606.77 / $832.75 / $1,397.22	Professional		$606.77	$832.75	$1,397.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $622.54 / $743.63	Facility		$593.00	$622.54	$743.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $612.66 / $709.45 / $801.82	Professional		$612.66	$709.45	$801.82
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 $622.17 / $862.49 / $1,464.94	Professional		$622.17	$862.49	$1,464.94