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 $514.02 / $566.63 / $780.54	Professional		$514.02	$566.63	$780.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $577.25 / $607.97 / $1,021.83	Professional		$577.25	$607.97	$1,021.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.32 / $654.32 / $654.32	Facility		$654.32	$654.32	$654.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.93 / $691.62 / $1,158.13	Professional		$508.93	$691.62	$1,158.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $685.33 / $928.02 / $1,183.76	Professional		$685.33	$928.02	$1,183.76
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 $514.02 / $636.97 / $2,979.78	Professional		$514.02	$636.97	$2,979.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $726.60 / $726.60 / $1,175.00	Professional		$726.60	$726.60	$1,175.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $654.32 / $654.32 / $654.32	Facility		$654.32	$654.32	$654.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $511.79 / $703.77 / $1,164.53	Professional		$511.79	$703.77	$1,164.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $560.61 / $560.61 / $622.03	Facility		$560.61	$560.61	$622.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $544.23 / $562.46 / $622.03	Professional		$544.23	$562.46	$622.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.04 / $689.26 / $1,068.71	Professional		$531.04	$689.26	$1,068.71