Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,747.00 / $8,104.00	Facility		$882.00	$2,747.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $863.70 / $1,334.84	Professional		$213.84	$863.70	$1,334.84
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 $902.89 / $1,552.99 / $2,136.61	Professional		$902.89	$1,552.99	$2,136.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.96 / $336.96 / $336.96	Facility		$336.96	$336.96	$336.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.70 / $455.46 / $1,805.48	Professional		$212.70	$455.46	$1,805.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.49 / $1,432.08 / $1,872.58	Professional		$1,102.49	$1,432.08	$1,872.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,389.00 / $8,427.00	Facility		$934.00	$3,389.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $211.07 / $936.96 / $1,659.51	Professional		$211.07	$936.96	$1,659.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $236.60 / $236.60 / $2,500.00	Professional		$236.60	$236.60	$2,500.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $336.96 / $336.96 / $336.96	Facility		$336.96	$336.96	$336.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $215.75 / $455.96 / $1,739.88	Professional		$215.75	$455.96	$1,739.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $192.14 / $201.60 / $1,007.00	Facility		$192.14	$201.60	$1,007.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $192.14 / $934.80 / $1,032.40	Professional		$192.14	$934.80	$1,032.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,502.00 / $6,000.00	Facility		$2,155.00	$3,502.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,025.42 / $1,281.78 / $2,289.15	Professional		$1,025.42	$1,281.78	$2,289.15