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 $628.40 / $699.12 / $1,027.47	Professional		$628.40	$699.12	$1,027.47
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 $703.41 / $879.36 / $1,268.51	Professional		$703.41	$879.36	$1,268.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.05 / $796.05 / $796.05	Facility		$796.05	$796.05	$796.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.41 / $842.76 / $1,413.61	Professional		$636.41	$842.76	$1,413.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $833.31 / $1,129.02 / $1,439.35	Professional		$833.31	$1,129.02	$1,439.35
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 $628.40 / $775.01 / $3,494.00	Professional		$628.40	$775.01	$3,494.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $899.20 / $899.20 / $1,431.00	Professional		$899.20	$899.20	$1,431.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $796.05 / $796.05 / $796.05	Facility		$796.05	$796.05	$796.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $642.79 / $863.88 / $1,436.04	Professional		$642.79	$863.88	$1,436.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $683.73 / $683.73 / $736.25	Facility		$683.73	$683.73	$736.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $663.02 / $686.76 / $736.25	Professional		$663.02	$686.76	$736.25
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 $653.32 / $841.93 / $1,383.55	Professional		$653.32	$841.93	$1,383.55