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 $709.08 / $797.44 / $1,159.03	Professional		$709.08	$797.44	$1,159.03
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 $792.63 / $832.49 / $1,440.12	Professional		$792.63	$832.49	$1,440.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.74 / $895.74 / $895.74	Facility		$895.74	$895.74	$895.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.76 / $953.22 / $1,592.25	Professional		$747.76	$953.22	$1,592.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $937.23 / $1,270.57 / $1,618.86	Professional		$937.23	$1,270.57	$1,618.86
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 $709.08 / $869.83 / $3,897.56	Professional		$709.08	$869.83	$3,897.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $935.10 / $935.10 / $1,613.50	Professional		$935.10	$935.10	$1,613.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $895.74 / $895.74 / $895.74	Facility		$895.74	$895.74	$895.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $747.76 / $982.68 / $1,632.60	Professional		$747.76	$982.68	$1,632.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $770.90 / $770.90 / $896.68	Facility		$770.90	$770.90	$896.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $747.26 / $775.13 / $896.68	Professional		$747.26	$775.13	$896.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $741.82 / $952.95 / $1,487.52	Professional		$741.82	$952.95	$1,487.52