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 $666.75 / $743.32 / $1,092.44	Professional		$666.75	$743.32	$1,092.44
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 $747.09 / $797.11 / $1,352.16	Professional		$747.09	$797.11	$1,352.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $844.78 / $844.78 / $844.78	Facility		$844.78	$844.78	$844.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.13 / $936.93 / $1,532.10	Professional		$719.13	$936.93	$1,532.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $884.16 / $1,198.63 / $1,527.18	Professional		$884.16	$1,198.63	$1,527.18
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 $667.58 / $823.69 / $3,674.41	Professional		$667.58	$823.69	$3,674.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,129.70 / $1,129.70 / $1,518.90	Professional		$1,129.70	$1,129.70	$1,518.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $844.78 / $844.78 / $844.78	Facility		$844.78	$844.78	$844.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $724.85 / $953.69 / $1,575.92	Professional		$724.85	$953.69	$1,575.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $726.23 / $726.23 / $996.12	Facility		$726.23	$726.23	$996.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $703.81 / $729.89 / $996.12	Professional		$703.81	$729.89	$996.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $6,885.00 / $41,413.24	Facility		$2,468.00	$6,885.00	$41,413.24
United Facility/Professional Professional Modifier Low / Median / High Price $720.71 / $983.79 / $1,475.87	Professional		$720.71	$983.79	$1,475.87