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 $626.85 / $698.80 / $953.54	Professional		$626.85	$698.80	$953.54
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 $703.07 / $747.07 / $1,267.23	Professional		$703.07	$747.07	$1,267.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.67 / $795.67 / $795.67	Facility		$795.67	$795.67	$795.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.39 / $828.24 / $1,401.79	Professional		$586.39	$828.24	$1,401.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $832.93 / $1,128.56 / $1,438.70	Professional		$832.93	$1,128.56	$1,438.70
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 $628.08 / $766.50 / $3,494.00	Professional		$628.08	$766.50	$3,494.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $851.40 / $851.40 / $1,430.40	Professional		$851.40	$851.40	$1,430.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $795.67 / $795.67 / $795.67	Facility		$795.67	$795.67	$795.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $606.91 / $840.17 / $1,412.96	Professional		$606.91	$840.17	$1,412.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $683.39 / $683.39 / $721.11	Facility		$683.39	$683.39	$721.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $662.69 / $686.42 / $725.47	Professional		$662.69	$686.42	$725.47
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 $613.38 / $836.52 / $1,366.71	Professional		$613.38	$836.52	$1,366.71