Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.86 / $4,063.00 / $10,398.00	Facility		$700.86	$4,063.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.61 / $595.84 / $775.86	Professional		$471.61	$595.84	$775.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $643.62 / $667.91 / $667.91	Professional		$643.62	$667.91	$667.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.97 / $838.97 / $838.97	Facility		$838.97	$838.97	$838.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.90 / $673.47 / $1,163.42	Professional		$485.90	$673.47	$1,163.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $775.60 / $1,041.74 / $1,339.67	Professional		$775.60	$1,041.74	$1,339.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,350.00 / $11,083.00	Facility		$1,301.00	$5,350.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $486.37 / $654.04 / $2,787.21	Professional		$486.37	$654.04	$2,787.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $626.40 / $626.40 / $1,406.40	Professional		$626.40	$626.40	$1,406.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $838.97 / $838.97 / $838.97	Facility		$838.97	$838.97	$838.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $498.33 / $695.61 / $1,208.19	Professional		$498.33	$695.61	$1,208.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $468.05 / $493.53 / $641.82	Facility		$468.05	$493.53	$641.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $482.38 / $577.99 / $691.73	Professional		$482.38	$577.99	$691.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.51 / $761.62 / $1,296.85	Professional		$561.51	$761.62	$1,296.85