Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.00 / $4,304.00 / $8,240.00	Facility		$943.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.14 / $879.46 / $1,182.80	Professional		$794.14	$879.46	$1,182.80
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 $852.66 / $884.84 / $1,569.76	Professional		$852.66	$884.84	$1,569.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.07 / $895.56 / $1,476.29	Professional		$682.07	$895.56	$1,476.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.24 / $1,031.24 / $1,329.80	Professional		$1,031.24	$1,031.24	$1,329.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $1,045.72 / $5,100.00	Professional		$819.00	$1,045.72	$5,100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $839.60 / $839.60 / $1,057.20	Professional		$839.60	$839.60	$1,057.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $694.23 / $903.16 / $1,476.29	Professional		$694.23	$903.16	$1,476.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $703.37 / $839.81 / $839.81	Facility		$703.37	$839.81	$839.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $703.37 / $839.81 / $893.10	Professional		$703.37	$839.81	$893.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.47 / $992.69 / $1,674.99	Professional		$715.47	$992.69	$1,674.99