Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.33 / $2,747.00 / $8,247.00	Facility		$768.33	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.68 / $716.71 / $1,045.63	Professional		$661.68	$716.71	$1,045.63
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 $732.53 / $760.18 / $1,269.30	Professional		$732.53	$760.18	$1,269.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.01 / $831.01 / $831.01	Facility		$831.01	$831.01	$831.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.51 / $865.58 / $1,456.14	Professional		$642.51	$865.58	$1,456.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.71 / $1,178.95 / $1,503.95	Professional		$870.71	$1,178.95	$1,503.95
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 $661.68 / $768.33 / $3,674.45	Professional		$661.68	$768.33	$3,674.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $823.30 / $823.30 / $1,517.40	Professional		$823.30	$823.30	$1,517.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $831.01 / $831.01 / $831.01	Facility		$831.01	$831.01	$831.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $646.44 / $895.41 / $1,456.14	Professional		$646.44	$895.41	$1,456.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $701.20 / $717.26 / $717.26	Facility		$701.20	$717.26	$717.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $697.02 / $717.26 / $763.58	Professional		$697.02	$717.26	$763.58
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 $642.92 / $826.05 / $1,345.15	Professional		$642.92	$826.05	$1,345.15