Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.99 / $3,142.00 / $7,799.00	Facility		$927.99	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.69 / $862.04 / $1,215.50	Professional		$794.69	$862.04	$1,215.50
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 $863.20 / $895.77 / $895.77	Professional		$863.20	$895.77	$895.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $986.85 / $986.85 / $986.85	Facility		$986.85	$986.85	$986.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.03 / $1,034.21 / $1,760.87	Professional		$794.03	$1,034.21	$1,760.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.86 / $1,394.23 / $1,782.31	Professional		$1,031.86	$1,394.23	$1,782.31
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 $794.69 / $938.31 / $4,465.89	Professional		$794.69	$938.31	$4,465.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.80 / $1,065.80 / $1,844.20	Professional		$1,065.80	$1,065.80	$1,844.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $986.85 / $986.85 / $986.85	Facility		$986.85	$986.85	$986.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $794.03 / $1,052.09 / $1,803.23	Professional		$794.03	$1,052.09	$1,803.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $857.28 / $857.28 / $864.32	Facility		$857.28	$857.28	$864.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $836.01 / $857.28 / $917.32	Professional		$836.01	$857.28	$917.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $759.48 / $1,020.33 / $1,657.11	Professional		$759.48	$1,020.33	$1,657.11