Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.88 / $2,747.00 / $8,247.00	Facility		$733.88	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.45 / $704.66 / $1,054.06	Professional		$634.45	$704.66	$1,054.06
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 $708.82 / $755.08 / $1,281.54	Professional		$708.82	$755.08	$1,281.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $801.63 / $801.63 / $801.63	Facility		$801.63	$801.63	$801.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.70 / $887.54 / $1,426.04	Professional		$668.70	$887.54	$1,426.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $838.95 / $1,136.93 / $1,449.09	Professional		$838.95	$1,136.93	$1,449.09
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 $634.45 / $755.76 / $2,843.00	Professional		$634.45	$755.76	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,046.40 / $1,046.40 / $1,442.70	Professional		$1,046.40	$1,046.40	$1,442.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $801.63 / $801.63 / $801.63	Facility		$801.63	$801.63	$801.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $668.70 / $902.74 / $1,476.89	Professional		$668.70	$902.74	$1,476.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $689.65 / $689.65 / $860.48	Facility		$689.65	$689.65	$860.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $668.43 / $693.04 / $860.48	Professional		$668.43	$693.04	$860.48
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 $672.74 / $899.35 / $1,398.14	Professional		$672.74	$899.35	$1,398.14