Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $2,250.00 / $2,624.40	Facility		$510.00	$2,250.00	$2,624.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $486.00 / $510.00	Professional		$360.00	$486.00	$510.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $468.00 / $468.00	Professional		$468.00	$468.00	$468.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.70 / $779.53 / $1,792.83	Facility		$401.70	$779.53	$1,792.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,892.00 / $2,892.00 / $2,892.00	Professional		$2,892.00	$2,892.00	$2,892.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $810.00 / $1,482.00	Professional		$630.00	$810.00	$1,482.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $668.10 / $2,250.00 / $2,624.40	Facility		$668.10	$2,250.00	$2,624.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $393.78 / $510.00 / $2,478.00	Professional		$393.78	$510.00	$2,478.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $888.00 / $900.00 / $1,200.00	Professional		$888.00	$900.00	$1,200.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $418.08 / $758.19 / $1,990.66	Facility		$418.08	$758.19	$1,990.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,892.00 / $2,892.00 / $2,892.00	Professional		$2,892.00	$2,892.00	$2,892.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $660.00	Facility		$600.00	$600.00	$660.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $660.00	Professional		$600.00	$600.00	$660.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $1,086.24	Professional		$252.00	$360.00	$1,086.24