Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,142.00 / $8,017.00	Facility		$882.00	$3,142.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.39 / $731.52 / $1,060.91	Professional		$648.39	$731.52	$1,060.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $725.53 / $761.91 / $1,313.14	Professional		$725.53	$761.91	$1,313.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.59 / $820.59 / $820.59	Facility		$820.59	$820.59	$820.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.81 / $882.66 / $1,457.31	Professional		$681.81	$882.66	$1,457.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $858.83 / $1,163.79 / $1,483.43	Professional		$858.83	$1,163.79	$1,483.43
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 $648.39 / $756.55 / $3,571.01	Professional		$648.39	$756.55	$3,571.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $856.70 / $856.70 / $1,476.00	Professional		$856.70	$856.70	$1,476.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $820.59 / $820.59 / $820.59	Facility		$820.59	$820.59	$820.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $681.81 / $900.27 / $1,487.76	Professional		$681.81	$900.27	$1,487.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $705.88 / $705.88 / $817.80	Facility		$705.88	$705.88	$817.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $684.21 / $709.30 / $817.80	Professional		$684.21	$709.30	$817.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,899.00 / $4,563.00 / $8,261.00	Facility		$1,899.00	$4,563.00	$8,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $679.71 / $869.45 / $1,356.84	Professional		$679.71	$869.45	$1,356.84