Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,304.00 / $8,240.00	Facility		$882.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.91 / $625.91 / $844.55	Professional		$543.91	$625.91	$844.55
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 $613.16 / $636.30 / $1,131.19	Professional		$613.16	$636.30	$1,131.19
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 $460.47 / $645.46 / $1,020.05	Professional		$460.47	$645.46	$1,020.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $737.14 / $737.14 / $950.56	Professional		$737.14	$737.14	$950.56
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 $599.45 / $747.34 / $4,831.00	Professional		$599.45	$747.34	$4,831.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $840.30 / $840.30 / $856.12	Professional		$840.30	$840.30	$856.12
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 $469.60 / $650.97 / $1,020.05	Professional		$469.60	$650.97	$1,020.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $479.97 / $601.24 / $881.42	Facility		$479.97	$601.24	$881.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $479.97 / $601.24 / $881.42	Professional		$479.97	$601.24	$881.42
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,219.00 / $4,300.00	Facility		$435.00	$1,219.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.80 / $712.92 / $1,160.94	Professional		$506.80	$712.92	$1,160.94