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 $689.01 / $768.72 / $1,129.25	Professional		$689.01	$768.72	$1,129.25
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 $772.26 / $817.59 / $1,384.54	Professional		$772.26	$817.59	$1,384.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $874.54 / $874.54 / $874.54	Facility		$874.54	$874.54	$874.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.88 / $928.39 / $1,550.83	Professional		$711.88	$928.39	$1,550.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $915.67 / $1,240.33 / $1,581.62	Professional		$915.67	$1,240.33	$1,581.62
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 $689.01 / $852.72 / $3,805.72	Professional		$689.01	$852.72	$3,805.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $943.60 / $943.60 / $1,571.60	Professional		$943.60	$943.60	$1,571.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $874.54 / $874.54 / $874.54	Facility		$874.54	$874.54	$874.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $714.16 / $955.72 / $1,570.35	Professional		$714.16	$955.72	$1,570.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $750.05 / $750.05 / $794.85	Facility		$750.05	$750.05	$794.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $727.71 / $752.98 / $796.75	Professional		$727.71	$752.98	$796.75
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 $711.84 / $920.86 / $1,495.55	Professional		$711.84	$920.86	$1,495.55