Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $4,761.00 / $8,451.00	Facility		$921.00	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.81 / $856.45 / $1,156.52	Professional		$787.81	$856.45	$1,156.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,092.00 / $7,463.00 / $11,048.00	Facility		$4,092.00	$7,463.00	$11,048.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $835.36 / $866.89 / $1,540.65	Professional		$835.36	$866.89	$1,540.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.00 / $771.00 / $771.00	Facility		$771.00	$771.00	$771.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.87 / $880.48 / $1,515.01	Professional		$669.87	$880.48	$1,515.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,002.26 / $1,002.26 / $1,292.43	Professional		$1,002.26	$1,002.26	$1,292.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $5,350.00 / $9,617.00	Facility		$1,054.00	$5,350.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $798.84 / $1,016.39 / $5,232.72	Professional		$798.84	$1,016.39	$5,232.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.50 / $891.50 / $891.50	Professional		$891.50	$891.50	$891.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $771.00 / $771.00 / $771.00	Facility		$771.00	$771.00	$771.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $678.93 / $889.19 / $1,515.01	Professional		$678.93	$889.19	$1,515.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $821.97 / $821.97 / $835.18	Facility		$821.97	$821.97	$835.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $805.07 / $821.97 / $870.22	Professional		$805.07	$821.97	$870.22
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 $693.43 / $945.85 / $1,586.45	Professional		$693.43	$945.85	$1,586.45