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 $587.96 / $654.54 / $963.70	Professional		$587.96	$654.54	$963.70
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 $659.04 / $683.91 / $1,185.59	Professional		$659.04	$683.91	$1,185.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.20 / $746.20 / $746.20	Facility		$746.20	$746.20	$746.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.65 / $791.78 / $1,323.18	Professional		$591.65	$791.78	$1,323.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $781.28 / $1,058.44 / $1,349.48	Professional		$781.28	$1,058.44	$1,349.48
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 $587.96 / $723.84 / $3,405.92	Professional		$587.96	$723.84	$3,405.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $729.80 / $729.80 / $1,340.50	Professional		$729.80	$729.80	$1,340.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $746.20 / $746.20 / $746.20	Facility		$746.20	$746.20	$746.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $593.20 / $808.27 / $1,344.66	Professional		$593.20	$808.27	$1,344.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $639.89 / $639.89 / $692.62	Facility		$639.89	$639.89	$692.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $620.76 / $642.46 / $692.62	Professional		$620.76	$642.46	$692.62
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 $598.12 / $784.85 / $1,224.81	Professional		$598.12	$784.85	$1,224.81