Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,830.00 / $8,240.00	Facility		$976.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.59 / $507.39 / $722.89	Professional		$453.59	$507.39	$722.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $509.82 / $532.91 / $904.00	Professional		$509.82	$532.91	$904.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.80 / $578.80 / $578.80	Facility		$578.80	$578.80	$578.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.80 / $600.00 / $1,024.00	Professional		$452.80	$600.00	$1,024.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $606.54 / $820.77 / $1,047.68	Professional		$606.54	$820.77	$1,047.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,534.00 / $8,404.00	Facility		$1,020.00	$4,534.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $453.59 / $561.59 / $2,627.30	Professional		$453.59	$561.59	$2,627.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $643.00 / $643.00 / $1,040.80	Professional		$643.00	$643.00	$1,040.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $578.80 / $578.80 / $578.80	Facility		$578.80	$578.80	$578.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $453.59 / $623.04 / $1,026.65	Professional		$453.59	$623.04	$1,026.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $494.62 / $494.62 / $564.53	Facility		$494.62	$494.62	$564.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $480.53 / $495.62 / $564.53	Professional		$480.53	$495.62	$564.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.81 / $604.21 / $938.63	Professional		$446.81	$604.21	$938.63