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 / $8,404.00	Facility		$976.00	$3,830.00	$8,404.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.73 / $680.67 / $1,247.65	Professional		$599.73	$680.67	$1,247.65
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 $674.48 / $699.93 / $699.93	Professional		$674.48	$699.93	$699.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.31 / $763.31 / $763.31	Facility		$763.31	$763.31	$763.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.10 / $846.53 / $1,382.38	Professional		$647.10	$846.53	$1,382.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $797.94 / $1,076.67 / $1,378.26	Professional		$797.94	$1,076.67	$1,378.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,427.00	Facility		$1,020.00	$4,597.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $599.73 / $762.26 / $3,501.54	Professional		$599.73	$762.26	$3,501.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $887.96 / $1,021.00 / $1,377.20	Professional		$887.96	$1,021.00	$1,377.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $763.31 / $763.31 / $763.31	Facility		$763.31	$763.31	$763.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $650.45 / $858.84 / $1,421.27	Professional		$650.45	$858.84	$1,421.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $654.96 / $654.96 / $956.00	Facility		$654.96	$654.96	$956.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $636.33 / $656.66 / $956.00	Professional		$636.33	$656.66	$956.00
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 $649.03 / $843.74 / $1,288.51	Professional		$649.03	$843.74	$1,288.51