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 $704.21 / $791.50 / $1,145.34	Professional		$704.21	$791.50	$1,145.34
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 $787.63 / $817.36 / $817.36	Professional		$787.63	$817.36	$817.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.16 / $890.16 / $890.16	Facility		$890.16	$890.16	$890.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.27 / $946.35 / $1,581.38	Professional		$724.27	$946.35	$1,581.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $931.46 / $1,262.92 / $1,608.88	Professional		$931.46	$1,262.92	$1,608.88
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 $704.21 / $871.51 / $3,871.26	Professional		$704.21	$871.51	$3,871.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $950.30 / $950.30 / $1,602.60	Professional		$950.30	$950.30	$1,602.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $890.16 / $890.16 / $890.16	Facility		$890.16	$890.16	$890.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $729.96 / $975.10 / $1,618.01	Professional		$729.96	$975.10	$1,618.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $766.28 / $766.28 / $863.72	Facility		$766.28	$766.28	$863.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $742.29 / $770.48 / $863.72	Professional		$742.29	$770.48	$863.72
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 $710.13 / $921.38 / $1,477.61	Professional		$710.13	$921.38	$1,477.61