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 $524.54 / $583.59 / $859.37	Professional		$524.54	$583.59	$859.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $587.70 / $609.87 / $1,064.70	Professional		$587.70	$609.87	$1,064.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.11 / $665.11 / $665.11	Facility		$665.11	$665.11	$665.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.60 / $692.83 / $1,172.53	Professional		$513.60	$692.83	$1,172.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $696.22 / $943.17 / $1,202.57	Professional		$696.22	$943.17	$1,202.57
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 $524.54 / $650.27 / $3,049.30	Professional		$524.54	$650.27	$3,049.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $662.70 / $662.70 / $1,200.90	Professional		$662.70	$662.70	$1,200.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $665.11 / $665.11 / $665.11	Facility		$665.11	$665.11	$665.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $519.14 / $715.06 / $1,179.85	Professional		$519.14	$715.06	$1,179.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $570.82 / $570.82 / $570.82	Facility		$570.82	$570.82	$570.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $553.58 / $573.29 / $605.94	Professional		$553.58	$573.29	$605.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $515.92 / $671.19 / $1,125.24	Professional		$515.92	$671.19	$1,125.24