Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.97 / $2,679.00 / $8,017.00	Facility		$653.97	$2,679.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.38 / $558.15 / $777.61	Professional		$326.38	$558.15	$777.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $606.49 / $629.38 / $629.38	Professional		$606.49	$629.38	$629.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $609.29 / $609.29 / $609.29	Facility		$609.29	$609.29	$609.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.18 / $649.86 / $1,198.77	Professional		$367.18	$649.86	$1,198.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $728.98 / $970.32 / $1,259.15	Professional		$728.98	$970.32	$1,259.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $2,679.00 / $8,017.00	Facility		$934.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $340.92 / $607.21 / $1,986.47	Professional		$340.92	$607.21	$1,986.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $406.30 / $406.30 / $1,321.70	Professional		$406.30	$406.30	$1,321.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $609.29 / $609.29 / $609.29	Facility		$609.29	$609.29	$609.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $370.74 / $657.99 / $1,285.76	Professional		$370.74	$657.99	$1,285.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $344.84 / $372.99 / $598.09	Facility		$344.84	$372.99	$598.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $343.33 / $573.10 / $644.33	Professional		$343.33	$573.10	$644.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.83 / $793.42 / $1,304.11	Professional		$553.83	$793.42	$1,304.11