Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,839.00 / $8,240.00	Facility		$976.00	$3,839.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.40 / $863.58 / $1,269.78	Professional		$775.40	$863.58	$1,269.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $868.36 / $901.13 / $901.13	Professional		$868.36	$901.13	$901.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.16 / $983.16 / $983.16	Facility		$983.16	$983.16	$983.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.99 / $1,031.17 / $1,735.32	Professional		$750.99	$1,031.17	$1,735.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.22 / $1,393.78 / $1,777.74	Professional		$1,029.22	$1,393.78	$1,777.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,404.00	Facility		$1,020.00	$4,761.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $775.40 / $965.75 / $4,501.82	Professional		$775.40	$965.75	$4,501.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.70 / $1,047.70 / $1,769.50	Professional		$1,047.70	$1,047.70	$1,769.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $983.16 / $983.16 / $983.16	Facility		$983.16	$983.16	$983.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $761.01 / $1,044.48 / $1,744.80	Professional		$761.01	$1,044.48	$1,744.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $844.17 / $844.17 / $908.46	Facility		$844.17	$844.17	$908.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $818.89 / $847.61 / $908.46	Professional		$818.89	$847.61	$908.46
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $734.96 / $1,015.82 / $1,687.97	Professional		$734.96	$1,015.82	$1,687.97