Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.86 / $2,326.00 / $7,629.00	Facility		$823.86	$2,326.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.06 / $802.28 / $1,159.55	Professional		$720.06	$802.28	$1,159.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $792.99 / $887.29 / $1,509.72	Professional		$792.99	$887.29	$1,509.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.07 / $903.07 / $903.07	Facility		$903.07	$903.07	$903.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.55 / $1,021.63 / $1,688.41	Professional		$765.55	$1,021.63	$1,688.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $926.17 / $1,260.24 / $1,599.74	Professional		$926.17	$1,260.24	$1,599.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,266.00 / $8,017.00	Facility		$800.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $720.06 / $902.84 / $3,873.90	Professional		$720.06	$902.84	$3,873.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,099.30 / $1,099.30 / $1,744.90	Professional		$1,099.30	$1,099.30	$1,744.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $903.07 / $903.07 / $903.07	Facility		$903.07	$903.07	$903.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $765.55 / $1,029.42 / $1,742.22	Professional		$765.55	$1,029.42	$1,742.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $778.07 / $778.07 / $924.03	Facility		$778.07	$778.07	$924.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $748.56 / $787.72 / $924.03	Professional		$748.56	$787.72	$924.03
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 $807.95 / $982.19 / $1,630.64	Professional		$807.95	$982.19	$1,630.64