Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.80 / $3,839.00 / $8,427.00	Facility		$851.80	$3,839.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.94 / $790.32 / $1,091.13	Professional		$692.94	$790.32	$1,091.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $787.60 / $817.32 / $1,348.09	Professional		$787.60	$817.32	$1,348.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.09 / $904.09 / $904.09	Facility		$904.09	$904.09	$904.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.69 / $929.71 / $1,588.47	Professional		$703.69	$929.71	$1,588.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $942.71 / $1,272.77 / $1,628.32	Professional		$942.71	$1,272.77	$1,628.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $851.80 / $5,342.00 / $8,451.00	Facility		$851.80	$5,342.00	$8,451.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $692.94 / $848.76 / $4,076.53	Professional		$692.94	$848.76	$4,076.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $910.60 / $910.60 / $1,695.00	Professional		$910.60	$910.60	$1,695.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $904.09 / $904.09 / $904.09	Facility		$904.09	$904.09	$904.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $703.69 / $948.40 / $1,588.47	Professional		$703.69	$948.40	$1,588.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $783.80 / $783.80 / $860.32	Facility		$783.80	$783.80	$860.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $765.14 / $783.80 / $860.32	Professional		$765.14	$783.80	$860.32
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 $683.24 / $930.33 / $1,515.58	Professional		$683.24	$930.33	$1,515.58