Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.63 / $3,066.00 / $7,799.00	Facility		$981.63	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.53 / $895.89 / $1,504.65	Professional		$802.53	$895.89	$1,504.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $966.62 / $1,003.10 / $1,003.10	Professional		$966.62	$1,003.10	$1,003.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.21 / $1,094.21 / $1,094.21	Facility		$1,094.21	$1,094.21	$1,094.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.68 / $1,069.78 / $1,857.49	Professional		$737.68	$1,069.78	$1,857.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,160.63 / $1,634.63 / $2,004.73	Professional		$1,160.63	$1,634.63	$2,004.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $981.63 / $3,839.00 / $8,017.00	Facility		$981.63	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $813.69 / $999.13 / $4,774.47	Professional		$813.69	$999.13	$4,774.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $826.60 / $826.60 / $1,928.50	Professional		$826.60	$826.60	$1,928.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,094.21 / $1,094.21 / $1,094.21	Facility		$1,094.21	$1,094.21	$1,094.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $775.13 / $1,094.29 / $1,857.49	Professional		$775.13	$1,094.29	$1,857.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $754.41 / $937.85 / $937.85	Facility		$754.41	$937.85	$937.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $754.41 / $937.85 / $997.57	Professional		$754.41	$937.85	$997.57
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $814.93 / $1,153.57 / $1,892.90	Professional		$814.93	$1,153.57	$1,892.90