Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.78 / $2,938.00 / $7,629.00	Facility		$630.78	$2,938.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.72 / $535.62 / $754.11	Professional		$449.72	$535.62	$754.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $572.16 / $593.76 / $990.12	Professional		$572.16	$593.76	$990.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.18 / $782.18 / $782.18	Facility		$782.18	$782.18	$782.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.17 / $620.74 / $1,060.83	Professional		$450.17	$620.74	$1,060.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.11 / $920.06 / $1,193.73	Professional		$691.11	$920.06	$1,193.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $452.65 / $610.57 / $2,537.56	Professional		$452.65	$610.57	$2,537.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $399.40 / $399.40 / $1,365.30	Professional		$399.40	$399.40	$1,365.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $782.18 / $782.18 / $782.18	Facility		$782.18	$782.18	$782.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $455.89 / $627.91 / $1,085.40	Professional		$455.89	$627.91	$1,085.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $446.33 / $465.28 / $570.88	Facility		$446.33	$465.28	$570.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $458.57 / $542.96 / $617.41	Professional		$458.57	$542.96	$617.41
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 $474.65 / $677.57 / $1,119.47	Professional		$474.65	$677.57	$1,119.47