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 $521.30 / $582.02 / $858.48	Professional		$521.30	$582.02	$858.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $587.09 / $609.25 / $1,056.56	Professional		$587.09	$609.25	$1,056.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.48 / $665.48 / $665.48	Facility		$665.48	$665.48	$665.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.13 / $699.31 / $1,174.41	Professional		$518.13	$699.31	$1,174.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $696.99 / $943.70 / $1,203.90	Professional		$696.99	$943.70	$1,203.90
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 $521.30 / $648.14 / $3,035.16	Professional		$521.30	$648.14	$3,035.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $653.00 / $653.00 / $1,201.80	Professional		$653.00	$653.00	$1,201.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $665.48 / $665.48 / $665.48	Facility		$665.48	$665.48	$665.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $521.86 / $716.01 / $1,174.41	Professional		$521.86	$716.01	$1,174.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $568.77 / $568.77 / $572.80	Facility		$568.77	$568.77	$572.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $552.47 / $570.64 / $604.76	Professional		$552.47	$570.64	$604.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.76 / $699.26 / $1,147.33	Professional		$510.76	$699.26	$1,147.33