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 $695.04 / $783.51 / $1,135.27	Professional		$695.04	$783.51	$1,135.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $776.38 / $830.71 / $1,409.98	Professional		$776.38	$830.71	$1,409.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.51 / $877.51 / $877.51	Facility		$877.51	$877.51	$877.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.18 / $975.67 / $1,598.06	Professional		$748.18	$975.67	$1,598.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $918.12 / $1,244.23 / $1,585.84	Professional		$918.12	$1,244.23	$1,585.84
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 $695.04 / $864.45 / $3,821.93	Professional		$695.04	$864.45	$3,821.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.31 / $1,153.40 / $1,580.80	Professional		$1,043.31	$1,153.40	$1,580.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $877.51 / $877.51 / $877.51	Facility		$877.51	$877.51	$877.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $748.50 / $992.91 / $1,640.75	Professional		$748.50	$992.91	$1,640.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $756.11 / $756.11 / $1,056.41	Facility		$756.11	$756.11	$1,056.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $732.53 / $760.16 / $1,056.41	Professional		$732.53	$760.16	$1,056.41
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 $771.87 / $988.20 / $1,516.43	Professional		$771.87	$988.20	$1,516.43