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 $537.59 / $608.96 / $931.73	Professional		$537.59	$608.96	$931.73
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 $602.04 / $636.88 / $1,080.61	Professional		$602.04	$636.88	$1,080.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $681.85 / $681.85 / $681.85	Facility		$681.85	$681.85	$681.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.91 / $730.47 / $1,210.23	Professional		$578.91	$730.47	$1,210.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $713.89 / $966.70 / $1,233.08	Professional		$713.89	$966.70	$1,233.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $545.36 / $705.36 / $2,970.33	Professional		$545.36	$705.36	$2,970.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $799.90 / $799.90 / $1,226.59	Professional		$799.90	$799.90	$1,226.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $681.85 / $681.85 / $681.85	Facility		$681.85	$681.85	$681.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $578.91 / $748.06 / $1,225.86	Professional		$578.91	$748.06	$1,225.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $585.08 / $585.08 / $704.57	Facility		$585.08	$585.08	$704.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $567.71 / $587.30 / $704.57	Professional		$567.71	$587.30	$704.57
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 $563.16 / $747.46 / $1,167.72	Professional		$563.16	$747.46	$1,167.72