Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $2,747.00 / $8,017.00	Facility		$934.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.70 / $759.94 / $1,137.65	Professional		$682.70	$759.94	$1,137.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $766.20 / $795.11 / $1,383.39	Professional		$766.20	$795.11	$1,383.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $867.10 / $867.10 / $867.10	Facility		$867.10	$867.10	$867.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.92 / $896.33 / $1,527.47	Professional		$631.92	$896.33	$1,527.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $907.78 / $1,230.34 / $1,567.98	Professional		$907.78	$1,230.34	$1,567.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,389.00 / $8,017.00	Facility		$954.00	$3,389.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $692.11 / $848.15 / $2,843.00	Professional		$692.11	$848.15	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $653.79 / $653.79 / $1,559.60	Professional		$653.79	$653.79	$1,559.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $867.10 / $867.10 / $867.10	Facility		$867.10	$867.10	$867.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $631.92 / $901.96 / $1,535.29	Professional		$631.92	$901.96	$1,535.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $734.75 / $743.35 / $743.35	Facility		$734.75	$743.35	$743.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $720.84 / $743.35 / $789.02	Professional		$720.84	$743.35	$789.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.04 / $896.31 / $1,438.81	Professional		$630.04	$896.31	$1,438.81