Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,142.00 / $7,799.00	Facility		$882.00	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.21 / $645.20 / $973.14	Professional		$579.21	$645.20	$973.14
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 $665.50 / $690.61 / $1,196.79	Professional		$665.50	$690.61	$1,196.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $753.64 / $753.64 / $753.64	Facility		$753.64	$753.64	$753.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.53 / $782.07 / $1,329.97	Professional		$559.53	$782.07	$1,329.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $789.12 / $1,069.02 / $1,363.02	Professional		$789.12	$1,069.02	$1,363.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $593.07 / $694.12 / $3,275.55	Professional		$593.07	$694.12	$3,275.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $777.80 / $777.80 / $1,352.60	Professional		$777.80	$777.80	$1,352.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $753.64 / $753.64 / $753.64	Facility		$753.64	$753.64	$753.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $574.95 / $791.05 / $1,334.78	Professional		$574.95	$791.05	$1,334.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $645.66 / $645.66 / $645.66	Facility		$645.66	$645.66	$645.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $626.41 / $648.20 / $685.83	Professional		$626.41	$648.20	$685.83
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 $562.63 / $782.07 / $1,320.75	Professional		$562.63	$782.07	$1,320.75