Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.05 / $3,839.00 / $8,113.00	Facility		$874.05	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.67 / $816.52 / $1,059.43	Professional		$754.67	$816.52	$1,059.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $834.78 / $1,162.88 / $1,725.18	Professional		$834.78	$1,162.88	$1,725.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.48 / $1,072.18 / $1,787.50	Professional		$732.48	$1,072.18	$1,787.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,878.07 / $1,878.07 / $1,878.07	Facility		$1,878.07	$1,878.07	$1,878.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,009.71 / $1,296.31 / $1,675.80	Professional		$1,009.71	$1,296.31	$1,675.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $874.05 / $4,761.00 / $8,247.00	Facility		$874.05	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $748.53 / $866.56 / $3,138.00	Professional		$748.53	$866.56	$3,138.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,577.60 / $2,063.90	Professional		$7.00	$1,577.60	$2,063.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $732.48 / $1,063.16 / $1,787.50	Professional		$732.48	$1,063.16	$1,787.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $801.92 / $801.92 / $888.48	Facility		$801.92	$801.92	$888.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $769.52 / $813.77 / $888.48	Professional		$769.52	$813.77	$888.48
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,113.00 / $6,228.00	Facility		$400.00	$2,113.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $748.15 / $1,009.43 / $1,634.87	Professional		$748.15	$1,009.43	$1,634.87