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 $701.47 / $806.11 / $1,153.14	Professional		$701.47	$806.11	$1,153.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $907.47 / $941.71 / $941.71	Professional		$907.47	$941.71	$941.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,333.12 / $1,333.12 / $1,333.12	Facility		$1,333.12	$1,333.12	$1,333.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.96 / $983.51 / $1,659.14	Professional		$743.96	$983.51	$1,659.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,085.29 / $1,476.73 / $1,874.60	Professional		$1,085.29	$1,476.73	$1,874.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $2,679.00 / $8,017.00	Facility		$934.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $730.86 / $894.30 / $2,843.00	Professional		$730.86	$894.30	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $808.50 / $808.50 / $1,847.00	Professional		$808.50	$808.50	$1,847.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,333.12 / $1,333.12 / $1,333.12	Facility		$1,333.12	$1,333.12	$1,333.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $755.73 / $994.07 / $1,675.67	Professional		$755.73	$994.07	$1,675.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $688.34 / $756.20 / $865.59	Facility		$688.34	$756.20	$865.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $731.74 / $819.69 / $924.03	Professional		$731.74	$819.69	$924.03
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $4,789.00	Facility		$912.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.55 / $1,067.07 / $1,763.64	Professional		$756.55	$1,067.07	$1,763.64