Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,371.00 / $7,629.00	Facility		$724.44	$2,371.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.09 / $671.34 / $911.04	Professional		$617.09	$671.34	$911.04
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 $665.65 / $690.77 / $768.24	Professional		$665.65	$690.77	$768.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.64 / $767.64 / $767.64	Facility		$767.64	$767.64	$767.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.50 / $795.71 / $1,361.26	Professional		$608.50	$795.71	$1,361.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $800.46 / $1,079.72 / $1,382.61	Professional		$800.46	$1,079.72	$1,382.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,371.00 / $8,017.00	Facility		$724.44	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $617.09 / $724.44 / $3,327.00	Professional		$617.09	$724.44	$3,327.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $787.20 / $787.20 / $1,366.30	Professional		$787.20	$787.20	$1,366.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $767.64 / $767.64 / $767.64	Facility		$767.64	$767.64	$767.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $608.50 / $803.00 / $1,361.26	Professional		$608.50	$803.00	$1,361.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $708.49	Facility		$663.63	$663.63	$708.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $649.79 / $663.63 / $713.52	Professional		$649.79	$663.63	$713.52
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 $588.62 / $778.02 / $1,262.94	Professional		$588.62	$778.02	$1,262.94