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 $633.03 / $689.73 / $1,036.13	Professional		$633.03	$689.73	$1,036.13
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 $709.06 / $742.18 / $1,280.08	Professional		$709.06	$742.18	$1,280.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.37 / $802.37 / $802.37	Facility		$802.37	$802.37	$802.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.29 / $839.79 / $1,414.91	Professional		$629.29	$839.79	$1,414.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $839.84 / $1,137.67 / $1,450.63	Professional		$839.84	$1,137.67	$1,450.63
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 $633.03 / $740.48 / $3,490.32	Professional		$633.03	$740.48	$3,490.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $836.70 / $836.70 / $1,443.30	Professional		$836.70	$836.70	$1,443.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $802.37 / $802.37 / $802.37	Facility		$802.37	$802.37	$802.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $634.63 / $866.22 / $1,423.60	Professional		$634.63	$866.22	$1,423.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $689.94 / $689.94 / $689.94	Facility		$689.94	$689.94	$689.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $668.95 / $693.08 / $732.37	Professional		$668.95	$693.08	$732.37
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 $625.38 / $849.56 / $1,379.76	Professional		$625.38	$849.56	$1,379.76