Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.33 / $2,961.95 / $3,539.30	Facility		$719.33	$2,961.95	$3,539.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.76 / $685.48 / $719.33	Professional		$507.76	$685.48	$719.33
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $660.09 / $660.09 / $660.09	Professional		$660.09	$660.09	$660.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $566.58 / $1,099.50 / $2,528.71	Facility		$566.58	$1,099.50	$2,528.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,079.02 / $4,079.02 / $4,079.02	Professional		$4,079.02	$4,079.02	$4,079.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $888.58 / $1,142.46 / $2,090.29	Professional		$888.58	$1,142.46	$2,090.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $942.32 / $2,920.14 / $3,539.30	Facility		$942.32	$2,920.14	$3,539.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $555.41 / $719.33 / $3,495.10	Professional		$555.41	$719.33	$3,495.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.48 / $1,269.40 / $1,692.54	Professional		$1,252.48	$1,269.40	$1,692.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $589.69 / $1,069.24 / $2,807.78	Facility		$589.69	$1,069.24	$2,807.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,079.02 / $4,079.02 / $4,079.02	Professional		$4,079.02	$4,079.02	$4,079.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $846.27 / $930.90	Facility		$846.27	$846.27	$930.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $930.90	Professional		$846.27	$846.27	$930.90
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $507.76 / $1,269.41	Professional		$355.43	$507.76	$1,269.41