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 $575.60 / $630.76 / $943.72	Professional		$575.60	$630.76	$943.72
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 $647.67 / $672.12 / $1,169.27	Professional		$647.67	$672.12	$1,169.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.81 / $732.81 / $732.81	Facility		$732.81	$732.81	$732.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.60 / $773.62 / $1,289.92	Professional		$571.60	$773.62	$1,289.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $767.11 / $1,039.66 / $1,325.00	Professional		$767.11	$1,039.66	$1,325.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,734.00 / $10,203.00	Facility		$1,013.00	$4,734.00	$10,203.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $688.56 / $3,339.79	Professional		$575.60	$688.56	$3,339.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.00 / $562.00 / $1,315.90	Professional		$562.00	$562.00	$1,315.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $732.81 / $732.81 / $732.81	Facility		$732.81	$732.81	$732.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $573.01 / $784.81 / $1,294.00	Professional		$573.01	$784.81	$1,294.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $510.80 / $627.29 / $627.29	Facility		$510.80	$627.29	$627.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $510.80 / $627.29 / $665.65	Professional		$510.80	$627.29	$665.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,447.00 / $3,311.00 / $6,000.00	Facility		$1,447.00	$3,311.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.14 / $774.13 / $1,359.06	Professional		$558.14	$774.13	$1,359.06