Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.83 / $3,066.00 / $7,799.00	Facility		$887.83	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.84 / $864.53 / $1,253.80	Professional		$768.84	$864.53	$1,253.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $857.43 / $889.79 / $1,565.10	Professional		$857.43	$889.79	$1,565.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $968.28 / $968.28 / $968.28	Facility		$968.28	$968.28	$968.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.56 / $1,035.42 / $1,725.19	Professional		$798.56	$1,035.42	$1,725.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.75 / $1,372.86 / $1,749.29	Professional		$1,012.75	$1,372.86	$1,749.29
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 $768.84 / $956.02 / $4,219.13	Professional		$768.84	$956.02	$4,219.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $996.50 / $996.50 / $1,747.70	Professional		$996.50	$996.50	$1,747.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $968.28 / $968.28 / $968.28	Facility		$968.28	$968.28	$968.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $801.27 / $1,062.10 / $1,773.39	Professional		$801.27	$1,062.10	$1,773.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $835.87 / $835.87 / $991.38	Facility		$835.87	$835.87	$991.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $809.23 / $840.95 / $991.38	Professional		$809.23	$840.95	$991.38
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 $796.99 / $1,034.00 / $1,613.64	Professional		$796.99	$1,034.00	$1,613.64