Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $7,799.00	Facility		$882.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.32 / $798.78 / $1,168.30	Professional		$704.32	$798.78	$1,168.30
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 $798.96 / $829.11 / $1,677.24	Professional		$798.96	$829.11	$1,677.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $897.23 / $897.23 / $897.23	Facility		$897.23	$897.23	$897.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.74 / $1,019.71 / $1,732.05	Professional		$753.74	$1,019.71	$1,732.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $928.80 / $1,230.03 / $1,604.28	Professional		$928.80	$1,230.03	$1,604.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $721.72 / $971.73 / $3,834.16	Professional		$721.72	$971.73	$3,834.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $897.20 / $897.20 / $1,924.10	Professional		$897.20	$897.20	$1,924.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $897.23 / $897.23 / $897.23	Facility		$897.23	$897.23	$897.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $759.31 / $1,037.53 / $1,771.65	Professional		$759.31	$1,037.53	$1,771.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $767.18 / $767.18 / $934.30	Facility		$767.18	$767.18	$934.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $747.69 / $767.18 / $934.30	Professional		$747.69	$767.18	$934.30
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 $792.46 / $1,001.00 / $1,669.59	Professional		$792.46	$1,001.00	$1,669.59