Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $7,799.00	Facility		$882.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $626.52 / $1,018.04	Professional		$533.91	$626.52	$1,018.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $26,582.19	Facility		$8,850.00	$16,455.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $629.96 / $653.73 / $653.73	Professional		$629.96	$653.73	$653.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.47 / $713.47 / $713.47	Facility		$713.47	$713.47	$713.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.54 / $759.92 / $1,268.83	Professional		$580.54	$759.92	$1,268.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $747.09 / $1,012.05 / $1,290.42	Professional		$747.09	$1,012.05	$1,290.42
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 $533.91 / $698.51 / $1,939.35	Professional		$533.91	$698.51	$1,939.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $775.20 / $775.20 / $1,287.50	Professional		$775.20	$775.20	$1,287.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $713.47 / $713.47 / $713.47	Facility		$713.47	$713.47	$713.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $583.90 / $777.69 / $1,290.74	Professional		$583.90	$777.69	$1,290.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $613.02 / $613.02 / $663.93	Facility		$613.02	$613.02	$663.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $594.79 / $615.37 / $663.93	Professional		$594.79	$615.37	$663.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.16 / $754.34 / $1,258.18	Professional		$552.16	$754.34	$1,258.18