Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.15 / $3,142.00 / $7,799.00	Facility		$923.15	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.39 / $856.97 / $1,158.63	Professional		$790.39	$856.97	$1,158.63
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 $858.21 / $890.59 / $1,476.70	Professional		$858.21	$890.59	$1,476.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.27 / $981.27 / $981.27	Facility		$981.27	$981.27	$981.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.32 / $1,028.23 / $1,750.51	Professional		$804.32	$1,028.23	$1,750.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.09 / $1,386.56 / $1,772.36	Professional		$1,026.09	$1,386.56	$1,772.36
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 $790.39 / $932.81 / $4,440.52	Professional		$790.39	$932.81	$4,440.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $978.40 / $978.40 / $1,834.70	Professional		$978.40	$978.40	$1,834.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $981.27 / $981.27 / $981.27	Facility		$981.27	$981.27	$981.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $804.51 / $1,045.89 / $1,793.82	Professional		$804.51	$1,045.89	$1,793.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $852.03 / $852.03 / $914.87	Facility		$852.03	$852.03	$914.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $830.97 / $852.03 / $914.87	Professional		$830.97	$852.03	$914.87
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 $761.00 / $1,012.99 / $1,569.54	Professional		$761.00	$1,012.99	$1,569.54