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 $623.23 / $694.88 / $1,019.51	Professional		$623.23	$694.88	$1,019.51
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 $699.13 / $729.31 / $1,257.69	Professional		$699.13	$729.31	$1,257.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.96 / $791.96 / $791.96	Facility		$791.96	$791.96	$791.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.02 / $855.02 / $1,403.01	Professional		$650.02	$855.02	$1,403.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $829.41 / $1,123.83 / $1,432.62	Professional		$829.41	$1,123.83	$1,432.62
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 $623.23 / $765.13 / $3,494.00	Professional		$623.23	$765.13	$3,494.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $841.40 / $841.40 / $1,422.60	Professional		$841.40	$841.40	$1,422.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $791.96 / $791.96 / $791.96	Facility		$791.96	$791.96	$791.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $650.02 / $859.94 / $1,420.49	Professional		$650.02	$859.94	$1,420.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $678.98 / $678.98 / $715.31	Facility		$678.98	$678.98	$715.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $681.46 / $721.47	Professional		$658.92	$681.46	$721.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,447.00 / $3,311.00 / $6,000.00	Facility		$1,447.00	$3,311.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $620.22 / $826.03 / $1,359.07	Professional		$620.22	$826.03	$1,359.07