Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.22 / $2,718.75 / $2,994.25	Facility		$957.22	$2,718.75	$2,994.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.25 / $587.25 / $616.25	Professional		$384.25	$587.25	$616.25
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $565.50 / $565.50 / $565.50	Professional		$565.50	$565.50	$565.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.39 / $941.93 / $2,166.34	Facility		$485.39	$941.93	$2,166.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,494.50 / $3,494.50 / $3,494.50	Professional		$3,494.50	$3,494.50	$3,494.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $761.25 / $978.75 / $1,790.75	Professional		$761.25	$978.75	$1,790.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,115.78 / $2,994.25 / $2,994.25	Facility		$1,115.78	$2,994.25	$2,994.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $475.82 / $616.25 / $2,994.25	Professional		$475.82	$616.25	$2,994.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,073.00 / $1,087.50 / $1,450.00	Professional		$1,073.00	$1,087.50	$1,450.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $505.18 / $915.96 / $2,405.73	Facility		$505.18	$915.96	$2,405.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,494.50 / $3,494.50 / $3,494.50	Professional		$3,494.50	$3,494.50	$3,494.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $725.00 / $797.50	Facility		$725.00	$725.00	$797.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $725.00 / $797.50	Professional		$725.00	$725.00	$797.50
United Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $435.00 / $906.25	Professional		$304.50	$435.00	$906.25