Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,747.00 / $8,104.00	Facility		$540.00	$2,747.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.58 / $622.15 / $1,000.00	Professional		$451.58	$622.15	$1,000.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $681.96 / $707.70 / $707.70	Professional		$681.96	$707.70	$707.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.51 / $835.51 / $835.51	Facility		$835.51	$835.51	$835.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.77 / $781.87 / $1,343.21	Professional		$517.77	$781.87	$1,343.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $802.48 / $1,064.80 / $1,386.11	Professional		$802.48	$1,064.80	$1,386.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $691.25 / $3,839.00 / $8,427.00	Facility		$691.25	$3,839.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $474.92 / $691.25 / $2,338.35	Professional		$474.92	$691.25	$2,338.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $763.50 / $763.50 / $1,730.40	Professional		$763.50	$763.50	$1,730.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $835.51 / $835.51 / $835.51	Facility		$835.51	$835.51	$835.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $517.77 / $782.22 / $1,400.87	Professional		$517.77	$782.22	$1,400.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $473.62 / $522.79 / $826.87	Facility		$473.62	$522.79	$826.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $473.62 / $642.04 / $695.89	Professional		$473.62	$642.04	$695.89
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.63 / $839.80 / $1,400.47	Professional		$618.63	$839.80	$1,400.47