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 $562.95 / $626.97 / $920.38	Professional		$562.95	$626.97	$920.38
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 $631.16 / $654.97 / $1,132.36	Professional		$631.16	$654.97	$1,132.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.96 / $714.96 / $714.96	Facility		$714.96	$714.96	$714.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.29 / $751.95 / $1,262.99	Professional		$553.29	$751.95	$1,262.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $748.67 / $1,014.01 / $1,293.16	Professional		$748.67	$1,014.01	$1,293.16
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 $562.95 / $698.67 / $3,261.95	Professional		$562.95	$698.67	$3,261.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $672.50 / $672.50 / $1,284.90	Professional		$672.50	$672.50	$1,284.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $714.96 / $714.96 / $714.96	Facility		$714.96	$714.96	$714.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $559.16 / $772.11 / $1,267.58	Professional		$559.16	$772.11	$1,267.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $583.79 / $612.65 / $612.65	Facility		$583.79	$612.65	$612.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $583.79 / $612.65 / $650.98	Professional		$583.79	$612.65	$650.98
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 $538.54 / $749.36 / $1,235.60	Professional		$538.54	$749.36	$1,235.60