Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.33 / $2,326.00 / $7,629.00	Facility		$751.33	$2,326.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.63 / $722.59 / $1,062.88	Professional		$649.63	$722.59	$1,062.88
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 $726.87 / $775.23 / $1,315.77	Professional		$726.87	$775.23	$1,315.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $822.09 / $822.09 / $822.09	Facility		$822.09	$822.09	$822.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $667.14 / $884.84 / $1,459.96	Professional		$667.14	$884.84	$1,459.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $860.33 / $1,165.71 / $1,486.03	Professional		$860.33	$1,165.71	$1,486.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $751.33 / $2,326.00 / $8,017.00	Facility		$751.33	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $649.63 / $783.28 / $3,327.00	Professional		$649.63	$783.28	$3,327.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $959.50 / $959.50 / $1,478.60	Professional		$959.50	$959.50	$1,478.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $822.09 / $822.09 / $822.09	Facility		$822.09	$822.09	$822.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $667.89 / $897.00 / $1,491.52	Professional		$667.89	$897.00	$1,491.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $707.21 / $707.21 / $819.75	Facility		$707.21	$707.21	$819.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $685.52 / $710.62 / $819.75	Professional		$685.52	$710.62	$819.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,447.00 / $3,198.00 / $6,000.00	Facility		$1,447.00	$3,198.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $657.03 / $872.09 / $1,453.69	Professional		$657.03	$872.09	$1,453.69