Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.56 / $2,489.15 / $2,489.15	Facility		$927.56	$2,489.15	$2,489.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.43 / $482.16 / $512.29	Professional		$319.43	$482.16	$512.29
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $470.11 / $470.11 / $470.11	Professional		$470.11	$470.11	$470.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.51 / $783.05 / $1,800.92	Facility		$403.51	$783.05	$1,800.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,905.01 / $2,905.01 / $2,905.01	Professional		$2,905.01	$2,905.01	$2,905.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $632.84 / $813.65 / $1,488.67	Professional		$632.84	$813.65	$1,488.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,708.67 / $2,489.15 / $8,990.00	Facility		$1,708.67	$2,489.15	$8,990.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $395.55 / $512.29 / $2,489.15	Professional		$395.55	$512.29	$2,489.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $892.00 / $904.05 / $1,205.40	Professional		$892.00	$904.05	$1,205.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $419.97 / $761.46 / $2,000.44	Facility		$419.97	$761.46	$2,000.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,905.01 / $2,905.01 / $2,905.01	Professional		$2,905.01	$2,905.01	$2,905.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $602.70 / $602.70 / $662.97	Facility		$602.70	$602.70	$662.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.70 / $602.70 / $662.97	Professional		$602.70	$602.70	$662.97
United Facility/Professional Professional Modifier Low / Median / High Price $253.13 / $361.62 / $804.73	Professional		$253.13	$361.62	$804.73