Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.95 / $2,747.00 / $8,247.00	Facility		$746.95	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.90 / $727.92 / $1,062.39	Professional		$645.90	$727.92	$1,062.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $727.31 / $763.26 / $1,288.77	Professional		$727.31	$763.26	$1,288.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $823.20 / $823.20 / $823.20	Facility		$823.20	$823.20	$823.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.85 / $903.56 / $1,465.65	Professional		$696.85	$903.56	$1,465.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $861.32 / $1,165.11 / $1,487.74	Professional		$861.32	$1,165.11	$1,487.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,427.00	Facility		$832.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $656.11 / $764.09 / $2,843.00	Professional		$656.11	$764.09	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $977.90 / $977.90 / $1,471.60	Professional		$977.90	$977.90	$1,471.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $823.20 / $823.20 / $823.20	Facility		$823.20	$823.20	$823.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $696.85 / $923.96 / $1,483.45	Professional		$696.85	$923.96	$1,483.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $703.35 / $703.35 / $884.37	Facility		$703.35	$703.35	$884.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $682.42 / $706.09 / $884.37	Professional		$682.42	$706.09	$884.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $692.58 / $872.73 / $1,329.92	Professional		$692.58	$872.73	$1,329.92