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 $484.06 / $544.69 / $796.24	Professional		$484.06	$544.69	$796.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $544.52 / $592.89 / $1,024.08	Professional		$544.52	$592.89	$1,024.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $614.15 / $614.15	Facility		$614.15	$614.15	$614.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.52 / $673.53 / $1,083.66	Professional		$518.52	$673.53	$1,083.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $641.98 / $870.27 / $1,108.88	Professional		$641.98	$870.27	$1,108.88
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 $484.06 / $606.86 / $2,843.00	Professional		$484.06	$606.86	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $673.30 / $673.30 / $1,137.09	Professional		$673.30	$673.30	$1,137.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $614.15 / $614.15	Facility		$614.15	$614.15	$614.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $518.52 / $677.45 / $1,137.84	Professional		$518.52	$677.45	$1,137.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $524.36 / $524.36 / $588.63	Facility		$524.36	$524.36	$588.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $507.17 / $528.04 / $588.63	Professional		$507.17	$528.04	$588.63
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 $513.97 / $668.03 / $1,025.32	Professional		$513.97	$668.03	$1,025.32