Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,830.00 / $8,240.00	Facility		$976.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.81 / $835.34 / $1,229.01	Professional		$751.81	$835.34	$1,229.01
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 $840.48 / $884.41 / $1,518.81	Professional		$840.48	$884.41	$1,518.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.42 / $950.42 / $950.42	Facility		$950.42	$950.42	$950.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.43 / $1,008.77 / $1,689.37	Professional		$756.43	$1,008.77	$1,689.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $994.62 / $1,347.91 / $1,717.98	Professional		$994.62	$1,347.91	$1,717.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $751.81 / $929.53 / $4,354.26	Professional		$751.81	$929.53	$4,354.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $994.10 / $994.10 / $1,709.10	Professional		$994.10	$994.10	$1,709.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $950.42 / $950.42 / $950.42	Facility		$950.42	$950.42	$950.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $764.94 / $1,030.79 / $1,721.24	Professional		$764.94	$1,030.79	$1,721.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $817.71 / $817.71 / $960.90	Facility		$817.71	$817.71	$960.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $792.51 / $821.77 / $960.90	Professional		$792.51	$821.77	$960.90
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 $745.64 / $964.91 / $1,571.28	Professional		$745.64	$964.91	$1,571.28