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 $617.65 / $681.93 / $1,016.61	Professional		$617.65	$681.93	$1,016.61
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 $690.55 / $734.73 / $1,245.65	Professional		$690.55	$734.73	$1,245.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $781.17 / $781.17 / $781.17	Facility		$781.17	$781.17	$781.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.12 / $827.35 / $1,375.55	Professional		$629.12	$827.35	$1,375.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $817.64 / $1,108.05 / $1,412.29	Professional		$817.64	$1,108.05	$1,412.29
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 $638.02 / $720.50 / $3,402.96	Professional		$638.02	$720.50	$3,402.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $843.30 / $843.30 / $1,405.20	Professional		$843.30	$843.30	$1,405.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $781.17 / $781.17 / $781.17	Facility		$781.17	$781.17	$781.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $632.39 / $846.89 / $1,388.87	Professional		$632.39	$846.89	$1,388.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $671.90 / $671.90 / $675.11	Facility		$671.90	$671.90	$675.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $651.28 / $675.11 / $712.97	Professional		$651.28	$675.11	$712.97
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 $635.36 / $826.54 / $1,359.90	Professional		$635.36	$826.54	$1,359.90