Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.35 / $2,747.00 / $8,247.00	Facility		$672.35	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.64 / $648.64 / $836.64	Professional		$579.64	$648.64	$836.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $572.16 / $907.05 / $1,543.42	Professional		$572.16	$907.05	$1,543.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.41 / $654.41 / $654.41	Facility		$654.41	$654.41	$654.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.76 / $820.10 / $1,327.94	Professional		$566.76	$820.10	$1,327.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $669.19 / $921.86 / $1,155.86	Professional		$669.19	$921.86	$1,155.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,427.00	Facility		$832.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $586.34 / $691.16 / $2,843.00	Professional		$586.34	$691.16	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $940.80 / $940.80 / $1,396.50	Professional		$940.80	$940.80	$1,396.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $654.41 / $654.41 / $654.41	Facility		$654.41	$654.41	$654.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $823.99 / $1,346.73	Professional		$567.08	$823.99	$1,346.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $627.55 / $627.55 / $800.04	Facility		$627.55	$627.55	$800.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $606.09 / $632.94 / $800.04	Professional		$606.09	$632.94	$800.04
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 $619.74 / $804.76 / $1,289.81	Professional		$619.74	$804.76	$1,289.81