Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $7,799.00	Facility		$882.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.77 / $748.69 / $1,186.33	Professional		$665.77	$748.69	$1,186.33
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 $744.79 / $779.91 / $1,349.02	Professional		$744.79	$779.91	$1,349.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.17 / $842.17 / $842.17	Facility		$842.17	$842.17	$842.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.85 / $893.14 / $1,495.98	Professional		$637.85	$893.14	$1,495.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $881.34 / $1,194.50 / $1,522.32	Professional		$881.34	$1,194.50	$1,522.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $670.72 / $821.98 / $2,843.00	Professional		$670.72	$821.98	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $878.20 / $878.20 / $1,515.50	Professional		$878.20	$878.20	$1,515.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $842.17 / $842.17 / $842.17	Facility		$842.17	$842.17	$842.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $644.14 / $913.42 / $1,509.57	Professional		$644.14	$913.42	$1,509.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $724.59 / $724.59 / $762.39	Facility		$724.59	$724.59	$762.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $702.26 / $728.21 / $768.52	Professional		$702.26	$728.21	$768.52
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 $694.79 / $863.34 / $1,469.44	Professional		$694.79	$863.34	$1,469.44