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 $619.79 / $699.20 / $1,024.27	Professional		$619.79	$699.20	$1,024.27
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 $693.19 / $737.38 / $1,250.77	Professional		$693.19	$737.38	$1,250.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.14 / $784.14 / $784.14	Facility		$784.14	$784.14	$784.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.49 / $867.04 / $1,420.19	Professional		$666.49	$867.04	$1,420.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $820.75 / $1,112.32 / $1,417.67	Professional		$820.75	$1,112.32	$1,417.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $619.79 / $812.54 / $3,414.70	Professional		$619.79	$812.54	$3,414.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.70 / $1,021.70 / $1,410.10	Professional		$1,021.70	$1,021.70	$1,410.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $784.14 / $784.14 / $784.14	Facility		$784.14	$784.14	$784.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $666.49 / $882.83 / $1,463.02	Professional		$666.49	$882.83	$1,463.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $674.20 / $674.20 / $863.87	Facility		$674.20	$674.20	$863.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $653.54 / $677.43 / $863.87	Professional		$653.54	$677.43	$863.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $2,824.00 / $5,678.00	Facility		$1,747.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.04 / $878.31 / $1,384.20	Professional		$654.04	$878.31	$1,384.20