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 $571.66 / $636.60 / $889.12	Professional		$571.66	$636.60	$889.12
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 $640.71 / $664.88 / $1,152.08	Professional		$640.71	$664.88	$1,152.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $725.37 / $725.37 / $725.37	Facility		$725.37	$725.37	$725.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.70 / $764.47 / $1,286.23	Professional		$595.70	$764.47	$1,286.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $759.42 / $1,028.74 / $1,311.72	Professional		$759.42	$1,028.74	$1,311.72
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 $571.66 / $705.73 / $3,155.80	Professional		$571.66	$705.73	$3,155.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $712.40 / $712.40 / $1,303.20	Professional		$712.40	$712.40	$1,303.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $725.37 / $725.37 / $725.37	Facility		$725.37	$725.37	$725.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $595.70 / $785.77 / $1,319.85	Professional		$595.70	$785.77	$1,319.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $622.35 / $622.35 / $720.20	Facility		$622.35	$622.35	$720.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $603.69 / $624.91 / $720.20	Professional		$603.69	$624.91	$720.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $4,476.00 / $10,443.12	Facility		$2,332.00	$4,476.00	$10,443.12
United Facility/Professional Professional Modifier Low / Median / High Price $558.52 / $765.59 / $1,243.39	Professional		$558.52	$765.59	$1,243.39