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 $586.47 / $658.58 / $1,131.86	Professional		$586.47	$658.58	$1,131.86
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 $677.95 / $703.54 / $1,020.05	Professional		$677.95	$703.54	$1,020.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $781.05 / $781.05 / $781.05	Facility		$781.05	$781.05	$781.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.66 / $786.90 / $1,372.46	Professional		$618.66	$786.90	$1,372.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $814.73 / $1,098.80 / $1,407.25	Professional		$814.73	$1,098.80	$1,407.25
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 $586.47 / $714.40 / $2,337.00	Professional		$586.47	$714.40	$2,337.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $784.50 / $784.50 / $1,380.90	Professional		$784.50	$784.50	$1,380.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $781.05 / $781.05 / $781.05	Facility		$781.05	$781.05	$781.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $618.66 / $804.35 / $1,372.46	Professional		$618.66	$804.35	$1,372.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $651.54 / $651.54 / $763.93	Facility		$651.54	$651.54	$763.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $637.65 / $651.54 / $763.93	Professional		$637.65	$651.54	$763.93
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 $578.52 / $777.29 / $1,204.83	Professional		$578.52	$777.29	$1,204.83