Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,422.00 / $8,113.00	Facility		$617.00	$2,422.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.21 / $790.97 / $1,441.26	Professional		$143.21	$790.97	$1,441.26
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 $1,052.60 / $1,092.33 / $2,293.92	Professional		$1,052.60	$1,092.33	$2,293.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.94 / $844.08 / $1,737.68	Professional		$111.94	$844.08	$1,737.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,339.75 / $1,339.75 / $1,727.64	Professional		$1,339.75	$1,339.75	$1,727.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,422.00 / $8,017.00	Facility		$641.00	$2,422.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $143.21 / $964.25 / $1,628.75	Professional		$143.21	$964.25	$1,628.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.81 / $1,439.10 / $2,347.46	Professional		$129.81	$1,439.10	$2,347.46
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $111.94 / $956.85 / $1,678.30	Professional		$111.94	$956.85	$1,678.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $141.77 / $768.75 / $1,189.94	Facility		$141.77	$768.75	$1,189.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.63 / $1,019.08 / $1,187.80	Professional		$141.63	$1,019.08	$1,187.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,107.33 / $1,350.52 / $2,322.01	Professional		$1,107.33	$1,350.52	$2,322.01