Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,679.00 / $8,017.00	Facility		$918.00	$2,679.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.40 / $848.05 / $1,091.49	Professional		$622.40	$848.05	$1,091.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $910.76 / $945.13 / $1,530.81	Professional		$910.76	$945.13	$1,530.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.82 / $1,243.82 / $1,243.82	Facility		$1,243.82	$1,243.82	$1,243.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.67 / $898.10 / $1,604.81	Professional		$574.67	$898.10	$1,604.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.60 / $1,473.67 / $1,909.69	Professional		$1,105.60	$1,473.67	$1,909.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $2,679.00 / $8,017.00	Facility		$954.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $680.37 / $930.08 / $2,843.00	Professional		$680.37	$930.08	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $343.40 / $343.40 / $2,115.80	Professional		$343.40	$343.40	$2,115.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,243.82 / $1,243.82 / $1,243.82	Facility		$1,243.82	$1,243.82	$1,243.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $597.33 / $930.43 / $1,647.89	Professional		$597.33	$930.43	$1,647.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $384.48 / $764.78 / $934.56	Facility		$384.48	$764.78	$934.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $452.70 / $827.71 / $1,014.60	Professional		$452.70	$827.71	$1,014.60
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 $604.60 / $945.13 / $1,617.46	Professional		$604.60	$945.13	$1,617.46