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 $635.66 / $691.55 / $960.70	Professional		$635.66	$691.55	$960.70
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 $685.28 / $711.14 / $711.14	Professional		$685.28	$711.14	$711.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.63 / $789.63 / $789.63	Facility		$789.63	$789.63	$789.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.11 / $818.08 / $1,406.80	Professional		$631.11	$818.08	$1,406.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $823.22 / $1,110.21 / $1,421.92	Professional		$823.22	$1,110.21	$1,421.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $635.66 / $745.76 / $3,538.04	Professional		$635.66	$745.76	$3,538.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $771.00 / $771.00 / $1,435.90	Professional		$771.00	$771.00	$1,435.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $789.63 / $789.63 / $789.63	Facility		$789.63	$789.63	$789.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $631.11 / $827.22 / $1,406.80	Professional		$631.11	$827.22	$1,406.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $683.65 / $683.65 / $776.40	Facility		$683.65	$683.65	$776.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $668.75 / $683.65 / $776.40	Professional		$668.75	$683.65	$776.40
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 $604.94 / $814.40 / $1,305.36	Professional		$604.94	$814.40	$1,305.36