Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.26 / $3,745.00 / $8,017.00	Facility		$944.26	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.19 / $849.82 / $1,176.41	Professional		$704.19	$849.82	$1,176.41
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 $821.68 / $852.69 / $1,350.42	Professional		$821.68	$852.69	$1,350.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $549.00 / $549.00	Facility		$549.00	$549.00	$549.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.66 / $813.93 / $1,333.41	Professional		$622.66	$813.93	$1,333.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,003.75 / $1,003.75 / $1,294.35	Professional		$1,003.75	$1,003.75	$1,294.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,964.00 / $8,017.00	Facility		$954.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $742.46 / $949.96 / $4,210.49	Professional		$742.46	$949.96	$4,210.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $755.00 / $755.00 / $755.00	Professional		$755.00	$755.00	$755.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $549.00 / $549.00	Facility		$549.00	$549.00	$549.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $632.82 / $852.68 / $1,332.67	Professional		$632.82	$852.68	$1,332.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $668.69 / $824.43 / $824.43	Facility		$668.69	$824.43	$824.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $668.69 / $824.43 / $882.43	Professional		$668.69	$824.43	$882.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,368.00	Facility		$1,440.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.53 / $845.97 / $1,453.43	Professional		$651.53	$845.97	$1,453.43