Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.05 / $3,142.00 / $7,799.00	Facility		$898.05	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.42 / $833.70 / $1,158.05	Professional		$768.42	$833.70	$1,158.05
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 $833.65 / $865.11 / $865.11	Professional		$833.65	$865.11	$865.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.42 / $954.42 / $954.42	Facility		$954.42	$954.42	$954.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.85 / $997.00 / $1,704.25	Professional		$779.85	$997.00	$1,704.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $997.29 / $1,347.04 / $1,722.60	Professional		$997.29	$1,347.04	$1,722.60
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 $768.42 / $907.39 / $4,309.49	Professional		$768.42	$907.39	$4,309.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $991.50 / $991.50 / $1,785.80	Professional		$991.50	$991.50	$1,785.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $954.42 / $954.42 / $954.42	Facility		$954.42	$954.42	$954.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $780.24 / $1,013.30 / $1,745.05	Professional		$780.24	$1,013.30	$1,745.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $813.25 / $827.78 / $827.78	Facility		$813.25	$827.78	$827.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $807.71 / $827.78 / $886.29	Professional		$807.71	$827.78	$886.29
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 $739.95 / $983.37 / $1,603.30	Professional		$739.95	$983.37	$1,603.30