Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.29 / $3,142.00 / $7,799.00	Facility		$904.29	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.89 / $871.79 / $1,396.94	Professional		$775.89	$871.79	$1,396.94
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,393.00 / $11,479.00 / $18,724.00	Facility		$6,393.00	$11,479.00	$18,724.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $955.32 / $991.38 / $1,673.39	Professional		$955.32	$991.38	$1,673.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,086.20 / $1,086.20 / $1,086.20	Facility		$1,086.20	$1,086.20	$1,086.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.73 / $1,066.89 / $1,765.46	Professional		$770.73	$1,066.89	$1,765.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.83 / $1,610.37 / $1,989.53	Professional		$1,151.83	$1,610.37	$1,989.53
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 $775.89 / $953.67 / $4,423.24	Professional		$775.89	$953.67	$4,423.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $870.00 / $1,925.40	Professional		$870.00	$870.00	$1,925.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,086.20 / $1,086.20 / $1,086.20	Facility		$1,086.20	$1,086.20	$1,086.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $795.24 / $1,083.42 / $1,821.64	Professional		$795.24	$1,083.42	$1,821.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $843.78 / $843.78	Facility		$714.00	$843.78	$843.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $714.00 / $843.78 / $898.01	Professional		$714.00	$843.78	$898.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.09 / $1,034.51 / $1,649.29	Professional		$757.09	$1,034.51	$1,649.29