Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.95 / $2,926.00 / $8,451.00	Facility		$765.95	$2,926.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.54 / $746.98 / $1,101.71	Professional		$662.54	$746.98	$1,101.71
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 $741.02 / $791.37 / $1,341.77	Professional		$741.02	$791.37	$1,341.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.71 / $837.71 / $837.71	Facility		$837.71	$837.71	$837.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.01 / $901.26 / $1,488.37	Professional		$697.01	$901.26	$1,488.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $876.70 / $1,188.70 / $1,514.30	Professional		$876.70	$1,188.70	$1,514.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,894.00 / $10,247.00	Facility		$1,020.00	$4,894.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $662.54 / $799.01 / $3,839.53	Professional		$662.54	$799.01	$3,839.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $927.60 / $927.60 / $1,505.00	Professional		$927.60	$927.60	$1,505.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $837.71 / $837.71 / $837.71	Facility		$837.71	$837.71	$837.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $697.01 / $919.11 / $1,519.83	Professional		$697.01	$919.11	$1,519.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $720.52 / $720.52 / $970.16	Facility		$720.52	$720.52	$970.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $698.13 / $724.30 / $970.16	Professional		$698.13	$724.30	$970.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $690.08 / $874.05 / $1,369.18	Professional		$690.08	$874.05	$1,369.18