Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,747.00 / $8,017.00	Facility		$918.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.78 / $759.69 / $1,104.78	Professional		$674.78	$759.69	$1,104.78
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 $755.53 / $805.57 / $1,367.27	Professional		$755.53	$805.57	$1,367.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.45 / $854.45 / $854.45	Facility		$854.45	$854.45	$854.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.90 / $921.31 / $1,516.57	Professional		$714.90	$921.31	$1,516.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $894.36 / $1,212.51 / $1,544.80	Professional		$894.36	$1,212.51	$1,544.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,077.00 / $8,017.00	Facility		$954.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $674.78 / $839.40 / $3,715.13	Professional		$674.78	$839.40	$3,715.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.70 / $1,110.70 / $1,536.10	Professional		$1,110.70	$1,110.70	$1,536.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $854.45 / $854.45 / $854.45	Facility		$854.45	$854.45	$854.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $717.99 / $937.51 / $1,548.75	Professional		$717.99	$937.51	$1,548.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $734.29 / $734.29 / $968.13	Facility		$734.29	$734.29	$968.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $711.72 / $737.88 / $968.13	Professional		$711.72	$737.88	$968.13
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 $708.78 / $907.06 / $1,412.61	Professional		$708.78	$907.06	$1,412.61