Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.00 / $4,534.00 / $8,421.00	Facility		$926.00	$4,534.00	$8,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.61 / $679.78 / $1,016.66	Professional		$620.61	$679.78	$1,016.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $672.84 / $950.56 / $1,197.48	Professional		$672.84	$950.56	$1,197.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,151.00 / $7,893.93	Facility		$500.00	$2,151.00	$7,893.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.04 / $856.91 / $1,425.37	Professional		$603.04	$856.91	$1,425.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,515.63 / $1,515.63 / $1,515.63	Facility		$1,515.63	$1,515.63	$1,515.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $814.25 / $1,048.13 / $1,352.52	Professional		$814.25	$1,048.13	$1,352.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,421.00	Facility		$1,020.00	$4,761.00	$8,421.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $629.41 / $742.48 / $3,188.00	Professional		$629.41	$742.48	$3,188.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,365.40 / $1,701.70	Professional		$7.00	$1,365.40	$1,701.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,109.00 / $7,668.05	Facility		$500.00	$2,109.00	$7,668.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $854.84 / $1,413.60	Professional		$630.00	$854.84	$1,413.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $656.85 / $656.85 / $735.42	Facility		$656.85	$656.85	$735.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $630.66 / $665.92 / $735.42	Professional		$630.66	$665.92	$735.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,822.00 / $4,563.00 / $7,000.00	Facility		$1,822.00	$4,563.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.36 / $825.78 / $1,353.78	Professional		$600.36	$825.78	$1,353.78