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 $606.28 / $675.61 / $987.99	Professional		$606.28	$675.61	$987.99
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 $679.68 / $706.49 / $1,195.91	Professional		$679.68	$706.49	$1,195.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $770.39 / $770.39 / $770.39	Facility		$770.39	$770.39	$770.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.04 / $827.86 / $1,366.11	Professional		$640.04	$827.86	$1,366.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $806.88 / $1,092.65 / $1,393.71	Professional		$806.88	$1,092.65	$1,393.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $606.28 / $711.39 / $3,463.09	Professional		$606.28	$711.39	$3,463.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.50 / $1,012.50 / $1,385.80	Professional		$1,012.50	$1,012.50	$1,385.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $770.39 / $770.39 / $770.39	Facility		$770.39	$770.39	$770.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $641.21 / $833.57 / $1,370.77	Professional		$641.21	$833.57	$1,370.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $660.10 / $660.10 / $892.14	Facility		$660.10	$660.10	$892.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $640.88 / $662.21 / $892.14	Professional		$640.88	$662.21	$892.14
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 $620.26 / $823.27 / $1,296.30	Professional		$620.26	$823.27	$1,296.30