Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.94 / $3,830.00 / $8,451.00	Facility		$810.94	$3,830.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.98 / $810.94 / $1,184.26	Professional		$714.98	$810.94	$1,184.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $809.88 / $840.44 / $1,699.46	Professional		$809.88	$840.44	$1,699.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.50 / $909.50 / $909.50	Facility		$909.50	$909.50	$909.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.04 / $1,033.80 / $1,772.64	Professional		$764.04	$1,033.80	$1,772.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $941.47 / $1,246.67 / $1,626.17	Professional		$941.47	$1,246.67	$1,626.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $4,761.00 / $9,211.00	Facility		$976.00	$4,761.00	$9,211.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $738.55 / $1,011.72 / $4,462.88	Professional		$738.55	$1,011.72	$4,462.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $907.60 / $907.60 / $1,949.10	Professional		$907.60	$907.60	$1,949.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $909.50 / $909.50 / $909.50	Facility		$909.50	$909.50	$909.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $770.22 / $1,050.43 / $1,779.74	Professional		$770.22	$1,050.43	$1,779.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $778.92 / $778.92 / $946.88	Facility		$778.92	$778.92	$946.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.84 / $778.92 / $946.88	Professional		$758.84	$778.92	$946.88
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 $786.24 / $998.66 / $1,674.35	Professional		$786.24	$998.66	$1,674.35