Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.17 / $2,193.38 / $2,558.36	Facility		$497.17	$2,193.38	$2,558.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $473.77 / $497.17	Professional		$350.94	$473.77	$497.17
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $456.22 / $456.22 / $456.22	Professional		$456.22	$456.22	$456.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.60 / $759.92 / $1,747.73	Facility		$391.60	$759.92	$1,747.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,819.22 / $2,819.22 / $2,819.22	Professional		$2,819.22	$2,819.22	$2,819.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $614.15 / $789.62 / $1,444.70	Professional		$614.15	$789.62	$1,444.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $651.29 / $2,193.38 / $2,558.36	Facility		$651.29	$2,193.38	$2,558.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $383.87 / $497.17 / $2,415.64	Professional		$383.87	$497.17	$2,415.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $865.65 / $877.35 / $1,169.80	Professional		$865.65	$877.35	$1,169.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $407.56 / $738.98 / $1,940.67	Facility		$407.56	$738.98	$1,940.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,819.22 / $2,819.22 / $2,819.22	Professional		$2,819.22	$2,819.22	$2,819.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $643.39	Facility		$584.90	$584.90	$643.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $643.39	Professional		$584.90	$584.90	$643.39
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $350.94 / $796.75	Professional		$245.66	$350.94	$796.75