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 $715.25 / $775.92 / $1,093.35	Professional		$715.25	$775.92	$1,093.35
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 $772.66 / $801.81 / $801.81	Professional		$772.66	$801.81	$801.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $887.31 / $887.31 / $887.31	Facility		$887.31	$887.31	$887.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.59 / $925.73 / $1,584.78	Professional		$719.59	$925.73	$1,584.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $925.28 / $1,249.10 / $1,598.20	Professional		$925.28	$1,249.10	$1,598.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $715.25 / $844.89 / $3,994.71	Professional		$715.25	$844.89	$3,994.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.30 / $912.30 / $1,665.80	Professional		$912.30	$912.30	$1,665.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $887.31 / $887.31 / $887.31	Facility		$887.31	$887.31	$887.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $719.64 / $943.19 / $1,624.85	Professional		$719.64	$943.19	$1,624.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $769.03 / $769.03 / $791.00	Facility		$769.03	$769.03	$791.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $750.91 / $769.03 / $824.16	Professional		$750.91	$769.03	$824.16
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 $683.53 / $910.39 / $1,478.56	Professional		$683.53	$910.39	$1,478.56