Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,747.00 / $8,017.00	Facility		$918.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.66 / $805.96 / $1,786.37	Professional		$743.66	$805.96	$1,786.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,404.00 / $4,354.00 / $8,639.91	Facility		$2,404.00	$4,354.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $813.86 / $844.57 / $844.57	Professional		$813.86	$844.57	$844.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $927.20 / $927.20 / $927.20	Facility		$927.20	$927.20	$927.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.14 / $947.53 / $1,565.63	Professional		$687.14	$947.53	$1,565.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $970.94 / $1,312.95 / $1,677.07	Professional		$970.94	$1,312.95	$1,677.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,077.00 / $8,017.00	Facility		$954.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $744.06 / $876.25 / $4,123.34	Professional		$744.06	$876.25	$4,123.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $835.30 / $835.30 / $1,719.50	Professional		$835.30	$835.30	$1,719.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $927.20 / $927.20 / $927.20	Facility		$927.20	$927.20	$927.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $705.72 / $961.78 / $1,610.60	Professional		$705.72	$961.78	$1,610.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $761.30 / $804.10 / $804.10	Facility		$761.30	$804.10	$804.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $761.30 / $804.10 / $858.87	Professional		$761.30	$804.10	$858.87
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 $682.82 / $914.63 / $1,466.58	Professional		$682.82	$914.63	$1,466.58