Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,747.00 / $8,017.00	Facility		$918.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.74 / $568.87 / $836.33	Professional		$509.74	$568.87	$836.33
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 $571.94 / $602.33 / $1,022.60	Professional		$571.94	$602.33	$1,022.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.37 / $648.37 / $648.37	Facility		$648.37	$648.37	$648.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.56 / $677.38 / $1,147.67	Professional		$504.56	$677.38	$1,147.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $679.05 / $919.20 / $1,172.91	Professional		$679.05	$919.20	$1,172.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,077.00 / $8,017.00	Facility		$954.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $509.74 / $628.89 / $2,843.00	Professional		$509.74	$628.89	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $760.60 / $760.60 / $1,165.59	Professional		$760.60	$760.60	$1,165.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $648.37 / $648.37 / $648.37	Facility		$648.37	$648.37	$648.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $507.46 / $692.60 / $1,148.64	Professional		$507.46	$692.60	$1,148.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $555.37 / $555.37 / $669.65	Facility		$555.37	$555.37	$669.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $539.26 / $557.09 / $669.65	Professional		$539.26	$557.09	$669.65
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 $499.68 / $683.34 / $1,116.28	Professional		$499.68	$683.34	$1,116.28