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 $541.14 / $603.05 / $875.75	Professional		$541.14	$603.05	$875.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,463.00 / $11,091.00	Facility		$4,150.00	$7,463.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $606.17 / $641.17 / $1,087.33	Professional		$606.17	$641.17	$1,087.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $686.69 / $686.69 / $686.69	Facility		$686.69	$686.69	$686.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.51 / $727.61 / $1,216.46	Professional		$547.51	$727.61	$1,216.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $719.00 / $973.53 / $1,241.92	Professional		$719.00	$973.53	$1,241.92
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 $541.14 / $667.35 / $3,136.30	Professional		$541.14	$667.35	$3,136.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $729.70 / $729.70 / $1,235.40	Professional		$729.70	$729.70	$1,235.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $686.69 / $686.69 / $686.69	Facility		$686.69	$686.69	$686.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $551.82 / $742.39 / $1,218.53	Professional		$551.82	$742.39	$1,218.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $589.19 / $589.19 / $609.58	Facility		$589.19	$589.19	$609.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $571.79 / $591.32 / $626.11	Professional		$571.79	$591.32	$626.11
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 $537.58 / $722.03 / $1,175.27	Professional		$537.58	$722.03	$1,175.27