Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.63 / $3,066.00 / $7,799.00	Facility		$896.63	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.35 / $861.47 / $1,259.71	Professional		$776.35	$861.47	$1,259.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $866.51 / $928.97 / $1,580.70	Professional		$866.51	$928.97	$1,580.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $978.70 / $978.70 / $978.70	Facility		$978.70	$978.70	$978.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.07 / $1,046.13 / $1,742.28	Professional		$769.07	$1,046.13	$1,742.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.74 / $1,387.78 / $1,768.27	Professional		$1,023.74	$1,387.78	$1,768.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $776.35 / $1,009.20 / $3,748.00	Professional		$776.35	$1,009.20	$3,748.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.80 / $1,043.80 / $1,767.00	Professional		$1,043.80	$1,043.80	$1,767.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $978.70 / $978.70 / $978.70	Facility		$978.70	$978.70	$978.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $783.36 / $1,073.57 / $1,791.74	Professional		$783.36	$1,073.57	$1,791.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $844.24 / $844.24 / $945.29	Facility		$844.24	$844.24	$945.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $817.46 / $849.24 / $945.29	Professional		$817.46	$849.24	$945.29
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 $763.22 / $1,041.58 / $1,743.29	Professional		$763.22	$1,041.58	$1,743.29