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 / $8,247.00	Facility		$976.00	$3,830.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.73 / $633.22 / $930.18	Professional		$565.73	$633.22	$930.18
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 $634.79 / $671.47 / $1,139.41	Professional		$634.79	$671.47	$1,139.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.05 / $719.05 / $719.05	Facility		$719.05	$719.05	$719.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.15 / $762.84 / $1,273.57	Professional		$589.15	$762.84	$1,273.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $752.98 / $1,020.06 / $1,300.60	Professional		$752.98	$1,020.06	$1,300.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,427.00	Facility		$1,020.00	$4,597.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $574.54 / $717.20 / $3,126.55	Professional		$574.54	$717.20	$3,126.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $757.80 / $757.80 / $1,291.09	Professional		$757.80	$757.80	$1,291.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $719.05 / $719.05 / $719.05	Facility		$719.05	$719.05	$719.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $589.15 / $785.53 / $1,292.07	Professional		$589.15	$785.53	$1,292.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $616.54 / $616.54 / $674.18	Facility		$616.54	$616.54	$674.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $598.23 / $618.91 / $674.18	Professional		$598.23	$618.91	$674.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $585.63 / $757.25 / $1,269.60	Professional		$585.63	$757.25	$1,269.60