Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,747.00 / $8,017.00	Facility		$918.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.61 / $725.31 / $1,079.48	Professional		$649.61	$725.31	$1,079.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $729.75 / $757.28 / $1,306.06	Professional		$729.75	$757.28	$1,306.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.67 / $827.67 / $827.67	Facility		$827.67	$827.67	$827.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.28 / $868.19 / $1,464.50	Professional		$648.28	$868.19	$1,464.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $867.10 / $1,174.05 / $1,497.71	Professional		$867.10	$1,174.05	$1,497.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,077.00 / $8,017.00	Facility		$954.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $661.37 / $934.00 / $2,843.00	Professional		$661.37	$934.00	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $772.70 / $772.70 / $1,490.20	Professional		$772.70	$772.70	$1,490.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $827.67 / $827.67 / $827.67	Facility		$827.67	$827.67	$827.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $648.28 / $879.43 / $1,464.50	Professional		$648.28	$879.43	$1,464.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $664.00 / $707.84 / $707.84	Facility		$664.00	$707.84	$707.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $664.00 / $707.84 / $753.12	Professional		$664.00	$707.84	$753.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,781.00 / $3,248.61 / $5,678.00	Facility		$1,781.00	$3,248.61	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.57 / $866.90 / $1,445.92	Professional		$653.57	$866.90	$1,445.92