Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,830.00 / $8,240.00	Facility		$976.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.92 / $843.48 / $1,126.55	Professional		$727.92	$843.48	$1,126.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $838.67 / $870.32 / $870.32	Professional		$838.67	$870.32	$870.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.00 / $963.00 / $963.00	Facility		$963.00	$963.00	$963.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.46 / $969.81 / $1,609.90	Professional		$701.46	$969.81	$1,609.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,004.08 / $1,355.62 / $1,734.32	Professional		$1,004.08	$1,355.62	$1,734.32
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 $777.64 / $909.63 / $4,387.18	Professional		$777.64	$909.63	$4,387.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $977.50 / $977.50 / $1,810.50	Professional		$977.50	$977.50	$1,810.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $963.00 / $963.00 / $963.00	Facility		$963.00	$963.00	$963.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $706.68 / $993.20 / $1,667.93	Professional		$706.68	$993.20	$1,667.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $836.31 / $836.31 / $958.10	Facility		$836.31	$836.31	$958.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $816.49 / $836.31 / $958.10	Professional		$816.49	$836.31	$958.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.21 / $973.18 / $1,628.63	Professional		$724.21	$973.18	$1,628.63