Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.61 / $2,221.94 / $2,655.05	Facility		$539.61	$2,221.94	$2,655.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.90 / $514.22 / $539.61	Professional		$380.90	$514.22	$539.61
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $495.18 / $495.18 / $495.18	Professional		$495.18	$495.18	$495.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.03 / $825.30 / $2,106.92	Facility		$425.03	$825.30	$2,106.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,059.93 / $3,059.93 / $3,059.93	Professional		$3,059.93	$3,059.93	$3,059.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $666.58 / $857.03 / $1,568.05	Professional		$666.58	$857.03	$1,568.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $706.89 / $2,190.58 / $2,655.05	Facility		$706.89	$2,190.58	$2,655.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $416.65 / $539.61 / $2,621.89	Professional		$416.65	$539.61	$2,621.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $939.56 / $952.26 / $1,269.68	Professional		$939.56	$952.26	$1,269.68
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $425.03 / $825.30 / $2,106.92	Facility		$425.03	$825.30	$2,106.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,059.93 / $3,059.93 / $3,059.93	Professional		$3,059.93	$3,059.93	$3,059.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $634.84 / $634.84 / $634.84	Facility		$634.84	$634.84	$634.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $634.84 / $634.84 / $634.84	Professional		$634.84	$634.84	$634.84
United Facility/Professional Professional Modifier Low / Median / High Price $266.63 / $380.90 / $952.26	Professional		$266.63	$380.90	$952.26