Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,747.00 / $8,017.00	Facility		$918.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.47 / $695.40 / $1,038.95	Professional		$635.47	$695.40	$1,038.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $715.22 / $763.09 / $1,294.41	Professional		$715.22	$763.09	$1,294.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.07 / $809.07 / $809.07	Facility		$809.07	$809.07	$809.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.74 / $856.92 / $1,423.89	Professional		$674.74	$856.92	$1,423.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $846.84 / $1,147.64 / $1,462.72	Professional		$846.84	$1,147.64	$1,462.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,120.00 / $8,017.00	Facility		$954.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $639.21 / $745.93 / $3,521.41	Professional		$639.21	$745.93	$3,521.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.80 / $1,083.80 / $1,454.20	Professional		$1,083.80	$1,083.80	$1,454.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $809.07 / $809.07 / $809.07	Facility		$809.07	$809.07	$809.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $674.74 / $877.17 / $1,437.11	Professional		$674.74	$877.17	$1,437.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $695.69 / $695.69 / $993.74	Facility		$695.69	$695.69	$993.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $674.38 / $699.03 / $738.18	Professional		$674.38	$699.03	$738.18
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 $638.34 / $869.21 / $1,510.65	Professional		$638.34	$869.21	$1,510.65