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 $599.70 / $659.53 / $994.11	Professional		$599.70	$659.53	$994.11
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 $679.84 / $705.50 / $1,225.58	Professional		$679.84	$705.50	$1,225.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $769.64 / $769.64 / $769.64	Facility		$769.64	$769.64	$769.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.15 / $805.04 / $1,358.29	Professional		$598.15	$805.04	$1,358.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $805.64 / $1,090.96 / $1,391.56	Professional		$805.64	$1,090.96	$1,391.56
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 $607.39 / $749.01 / $3,494.00	Professional		$607.39	$749.01	$3,494.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $768.70 / $768.70 / $1,384.40	Professional		$768.70	$768.70	$1,384.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $769.64 / $769.64 / $769.64	Facility		$769.64	$769.64	$769.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $601.89 / $832.82 / $1,366.69	Professional		$601.89	$832.82	$1,366.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $660.77 / $660.77 / $741.47	Facility		$660.77	$660.77	$741.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $640.98 / $663.47 / $741.47	Professional		$640.98	$663.47	$741.47
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 $627.98 / $812.15 / $1,431.34	Professional		$627.98	$812.15	$1,431.34