Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,747.00 / $8,017.00	Facility		$918.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.57 / $777.77 / $1,241.67	Professional		$681.57	$777.77	$1,241.67
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 $797.68 / $827.78 / $1,444.33	Professional		$797.68	$827.78	$1,444.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $901.69 / $901.69 / $901.69	Facility		$901.69	$901.69	$901.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.80 / $972.34 / $1,590.02	Professional		$717.80	$972.34	$1,590.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $943.55 / $1,279.04 / $1,629.76	Professional		$943.55	$1,279.04	$1,629.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,077.00 / $8,017.00	Facility		$934.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $684.61 / $903.11 / $4,132.75	Professional		$684.61	$903.11	$4,132.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $813.70 / $813.70 / $1,636.70	Professional		$813.70	$813.70	$1,636.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $901.69 / $901.69 / $901.69	Facility		$901.69	$901.69	$901.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $717.80 / $989.23 / $1,601.28	Professional		$717.80	$989.23	$1,601.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $724.08 / $775.62 / $775.62	Facility		$724.08	$775.62	$775.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.08 / $775.62 / $822.33	Professional		$724.08	$775.62	$822.33
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 $767.24 / $999.13 / $1,493.17	Professional		$767.24	$999.13	$1,493.17