Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,830.00 / $8,240.00	Facility		$976.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.75 / $840.71 / $1,301.36	Professional		$748.75	$840.71	$1,301.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $836.84 / $884.34 / $1,511.72	Professional		$836.84	$884.34	$1,511.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $946.32 / $946.32 / $946.32	Facility		$946.32	$946.32	$946.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.58 / $1,004.79 / $1,682.61	Professional		$775.58	$1,004.79	$1,682.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $990.30 / $1,341.87 / $1,710.51	Professional		$990.30	$1,341.87	$1,710.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $757.58 / $950.85 / $4,122.35	Professional		$757.58	$950.85	$4,122.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.09 / $1,038.09 / $1,702.30	Professional		$1,038.09	$1,038.09	$1,702.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $946.32 / $946.32 / $946.32	Facility		$946.32	$946.32	$946.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $776.43 / $1,038.15 / $1,699.96	Professional		$776.43	$1,038.15	$1,699.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $814.73 / $814.73 / $905.22	Facility		$814.73	$814.73	$905.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $789.59 / $818.81 / $905.22	Professional		$789.59	$818.81	$905.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $752.28 / $1,029.91 / $1,574.08	Professional		$752.28	$1,029.91	$1,574.08