Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.10 / $2,543.00 / $7,865.00	Facility		$918.10	$2,543.00	$7,865.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.00 / $632.07 / $864.13	Professional		$581.00	$632.07	$864.13
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 $626.22 / $649.85 / $649.85	Professional		$626.22	$649.85	$649.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $722.52 / $722.52 / $722.52	Facility		$722.52	$722.52	$722.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.98 / $746.64 / $1,253.70	Professional		$543.98	$746.64	$1,253.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $753.21 / $1,015.93 / $1,301.01	Professional		$753.21	$1,015.93	$1,301.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $918.10 / $2,675.00 / $8,017.00	Facility		$918.10	$2,675.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $581.00 / $682.15 / $3,230.87	Professional		$581.00	$682.15	$3,230.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $764.70 / $764.70 / $1,363.70	Professional		$764.70	$764.70	$1,363.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $722.52 / $722.52 / $722.52	Facility		$722.52	$722.52	$722.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $556.32 / $749.63 / $1,253.70	Professional		$556.32	$749.63	$1,253.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $625.19 / $625.19 / $650.40	Facility		$625.19	$625.19	$650.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $611.89 / $625.19 / $672.33	Professional		$611.89	$625.19	$672.33
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 $531.22 / $722.63 / $1,127.72	Professional		$531.22	$722.63	$1,127.72