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 $537.98 / $609.88 / $881.50	Professional		$537.98	$609.88	$881.50
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 $603.91 / $637.14 / $1,080.47	Professional		$603.91	$637.14	$1,080.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.46 / $684.46 / $684.46	Facility		$684.46	$684.46	$684.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.07 / $759.27 / $1,226.35	Professional		$581.07	$759.27	$1,226.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $716.83 / $970.57 / $1,238.15	Professional		$716.83	$970.57	$1,238.15
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 $537.98 / $662.02 / $3,117.78	Professional		$537.98	$662.02	$3,117.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $950.40 / $950.40 / $1,231.90	Professional		$950.40	$950.40	$1,231.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $684.46 / $684.46 / $684.46	Facility		$684.46	$684.46	$684.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $584.12 / $769.15 / $1,272.41	Professional		$584.12	$769.15	$1,272.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $586.36 / $586.36 / $863.27	Facility		$586.36	$586.36	$863.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $569.20 / $588.33 / $863.27	Professional		$569.20	$588.33	$863.27
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 $572.17 / $781.13 / $1,184.73	Professional		$572.17	$781.13	$1,184.73