Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.50 / $3,142.00 / $7,799.00	Facility		$935.50	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.99 / $867.46 / $1,270.02	Professional		$800.99	$867.46	$1,270.02
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 $868.53 / $901.31 / $1,497.86	Professional		$868.53	$901.31	$1,497.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.56 / $993.56 / $993.56	Facility		$993.56	$993.56	$993.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.98 / $1,040.59 / $1,771.92	Professional		$805.98	$1,040.59	$1,771.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.02 / $1,402.36 / $1,792.94	Professional		$1,038.02	$1,402.36	$1,792.94
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 $811.75 / $967.36 / $3,748.00	Professional		$811.75	$967.36	$3,748.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $975.40 / $975.40 / $1,858.20	Professional		$975.40	$975.40	$1,858.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $993.56 / $993.56 / $993.56	Facility		$993.56	$993.56	$993.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $806.38 / $1,060.13 / $1,817.82	Professional		$806.38	$1,060.13	$1,817.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $862.86 / $862.86 / $916.31	Facility		$862.86	$862.86	$916.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $841.38 / $862.86 / $923.18	Professional		$841.38	$862.86	$923.18
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 $775.57 / $1,027.98 / $1,677.02	Professional		$775.57	$1,027.98	$1,677.02