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 $540.58 / $611.01 / $888.93	Professional		$540.58	$611.01	$888.93
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 $607.91 / $641.30 / $1,088.11	Professional		$607.91	$641.30	$1,088.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $688.92 / $688.92 / $688.92	Facility		$688.92	$688.92	$688.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.25 / $763.58 / $1,235.04	Professional		$585.25	$763.58	$1,235.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $721.46 / $976.79 / $1,246.15	Professional		$721.46	$976.79	$1,246.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $541.91 / $668.99 / $2,998.24	Professional		$541.91	$668.99	$2,998.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $932.30 / $932.30 / $1,238.09	Professional		$932.30	$932.30	$1,238.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $688.92 / $688.92 / $688.92	Facility		$688.92	$688.92	$688.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $587.89 / $774.23 / $1,280.96	Professional		$587.89	$774.23	$1,280.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $590.30 / $590.30 / $853.16	Facility		$590.30	$590.30	$853.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $573.02 / $592.29 / $853.16	Professional		$573.02	$592.29	$853.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.23 / $758.16 / $1,188.29	Professional		$581.23	$758.16	$1,188.29