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 $582.71 / $656.67 / $1,057.68	Professional		$582.71	$656.67	$1,057.68
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 $653.88 / $692.01 / $1,174.30	Professional		$653.88	$692.01	$1,174.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.62 / $740.62 / $740.62	Facility		$740.62	$740.62	$740.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.55 / $785.62 / $1,311.67	Professional		$604.55	$785.62	$1,311.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $775.49 / $1,050.26 / $1,339.48	Professional		$775.49	$1,050.26	$1,339.48
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 $601.91 / $721.19 / $2,843.00	Professional		$601.91	$721.19	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $802.70 / $802.70 / $1,329.70	Professional		$802.70	$802.70	$1,329.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $740.62 / $740.62 / $740.62	Facility		$740.62	$740.62	$740.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $605.49 / $809.53 / $1,327.59	Professional		$605.49	$809.53	$1,327.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $634.50 / $634.50 / $795.22	Facility		$634.50	$634.50	$795.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $615.75 / $636.84 / $795.22	Professional		$615.75	$636.84	$795.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $4,476.00 / $10,443.12	Facility		$2,332.00	$4,476.00	$10,443.12
United Facility/Professional Professional Modifier Low / Median / High Price $593.60 / $780.33 / $1,205.73	Professional		$593.60	$780.33	$1,205.73