Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.03 / $2,938.00 / $7,629.00	Facility		$908.03	$2,938.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.38 / $619.82 / $1,013.98	Professional		$523.38	$619.82	$1,013.98
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 $626.17 / $662.05 / $1,056.80	Professional		$626.17	$662.05	$1,056.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.38 / $709.38 / $709.38	Facility		$709.38	$709.38	$709.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.83 / $770.66 / $1,257.35	Professional		$558.83	$770.66	$1,257.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $742.82 / $1,005.98 / $1,283.05	Professional		$742.82	$1,005.98	$1,283.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $908.03 / $3,839.00 / $8,017.00	Facility		$908.03	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $547.69 / $649.99 / $2,843.00	Professional		$547.69	$649.99	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $867.30 / $867.30 / $1,274.70	Professional		$867.30	$867.30	$1,274.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $709.38 / $709.38 / $709.38	Facility		$709.38	$709.38	$709.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $554.80 / $775.93 / $1,273.74	Professional		$554.80	$775.93	$1,273.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $608.04 / $608.04 / $797.42	Facility		$608.04	$608.04	$797.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $590.10 / $610.25 / $797.42	Professional		$590.10	$610.25	$797.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,843.00 / $3,742.00 / $7,000.00	Facility		$1,843.00	$3,742.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $589.72 / $778.91 / $1,226.57	Professional		$589.72	$778.91	$1,226.57