Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,748.00 / $8,421.00	Facility		$954.00	$3,748.00	$8,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.55 / $489.88 / $721.40	Professional		$438.55	$489.88	$721.40
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 $493.35 / $519.67 / $884.68	Professional		$493.35	$519.67	$884.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.46 / $559.46 / $559.46	Facility		$559.46	$559.46	$559.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.33 / $593.28 / $988.63	Professional		$449.33	$593.28	$988.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $586.04 / $793.32 / $1,012.26	Professional		$586.04	$793.32	$1,012.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,606.00 / $10,203.00	Facility		$1,013.00	$4,606.00	$10,203.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $438.55 / $543.03 / $2,551.69	Professional		$438.55	$543.03	$2,551.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $635.00 / $635.00 / $1,006.00	Professional		$635.00	$635.00	$1,006.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $559.46 / $559.46 / $559.46	Facility		$559.46	$559.46	$559.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $451.41 / $605.04 / $1,003.40	Professional		$451.41	$605.04	$1,003.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.23 / $478.23 / $546.63	Facility		$478.23	$478.23	$546.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $464.20 / $479.61 / $546.63	Professional		$464.20	$479.61	$546.63
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 $439.60 / $586.13 / $964.36	Professional		$439.60	$586.13	$964.36