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 $719.27 / $798.66 / $1,161.49	Professional		$719.27	$798.66	$1,161.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $804.44 / $840.35 / $1,449.94	Professional		$804.44	$840.35	$1,449.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.88 / $909.88 / $909.88	Facility		$909.88	$909.88	$909.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.69 / $965.72 / $1,616.70	Professional		$737.69	$965.72	$1,616.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $952.34 / $1,290.82 / $1,644.94	Professional		$952.34	$1,290.82	$1,644.94
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 $719.27 / $883.08 / $4,165.37	Professional		$719.27	$883.08	$4,165.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $946.80 / $946.80 / $1,635.90	Professional		$946.80	$946.80	$1,635.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $909.88 / $909.88 / $909.88	Facility		$909.88	$909.88	$909.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $741.94 / $986.59 / $1,644.06	Professional		$741.94	$986.59	$1,644.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $781.78 / $781.78 / $788.49	Facility		$781.78	$781.78	$788.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $757.91 / $785.44 / $829.35	Professional		$757.91	$785.44	$829.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $704.02 / $963.67 / $1,538.82	Professional		$704.02	$963.67	$1,538.82