Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,142.00 / $7,799.00	Facility		$882.00	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.16 / $722.36 / $1,079.93	Professional		$649.16	$722.36	$1,079.93
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 $726.33 / $773.87 / $1,314.06	Professional		$726.33	$773.87	$1,314.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $821.71 / $821.71 / $821.71	Facility		$821.71	$821.71	$821.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.60 / $908.11 / $1,459.62	Professional		$699.60	$908.11	$1,459.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $860.01 / $1,165.09 / $1,485.48	Professional		$860.01	$1,165.09	$1,485.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $649.16 / $821.89 / $3,577.28	Professional		$649.16	$821.89	$3,577.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.50 / $1,082.50 / $1,477.20	Professional		$1,082.50	$1,082.50	$1,477.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $821.71 / $821.71 / $821.71	Facility		$821.71	$821.71	$821.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $699.60 / $925.05 / $1,533.53	Professional		$699.60	$925.05	$1,533.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $706.70 / $706.70 / $964.58	Facility		$706.70	$706.70	$964.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $685.13 / $710.00 / $964.58	Professional		$685.13	$710.00	$964.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $685.94 / $935.34 / $1,431.55	Professional		$685.94	$935.34	$1,431.55