Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.30 / $2,326.00 / $7,629.00	Facility		$714.30	$2,326.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.28 / $682.29 / $974.42	Professional		$624.28	$682.29	$974.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $687.34 / $838.39 / $1,164.20	Professional		$687.34	$838.39	$1,164.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.81 / $782.81 / $782.81	Facility		$782.81	$782.81	$782.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.59 / $843.95 / $1,388.00	Professional		$663.59	$843.95	$1,388.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $802.81 / $1,092.47 / $1,386.68	Professional		$802.81	$1,092.47	$1,386.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $714.30 / $2,266.00 / $8,017.00	Facility		$714.30	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $624.28 / $714.30 / $3,358.84	Professional		$624.28	$714.30	$3,358.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,387.00 / $1,725.40 / $1,725.40	Professional		$1,387.00	$1,725.40	$1,725.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $782.81 / $782.81 / $782.81	Facility		$782.81	$782.81	$782.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $663.59 / $859.16 / $1,390.37	Professional		$663.59	$859.16	$1,390.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $674.63 / $674.63 / $736.56	Facility		$674.63	$674.63	$736.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $649.00 / $683.04 / $736.56	Professional		$649.00	$683.04	$736.56
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.53 / $816.42 / $1,332.82	Professional		$659.53	$816.42	$1,332.82