Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $7,799.00	Facility		$882.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.30 / $544.76 / $801.88	Professional		$483.30	$544.76	$801.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $548.38 / $569.07 / $569.07	Professional		$548.38	$569.07	$569.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.84 / $620.84 / $620.84	Facility		$620.84	$620.84	$620.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.08 / $646.04 / $1,095.19	Professional		$501.08	$646.04	$1,095.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $649.97 / $880.44 / $1,122.67	Professional		$649.97	$880.44	$1,122.67
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 $489.00 / $572.21 / $2,837.16	Professional		$489.00	$572.21	$2,837.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $632.90 / $632.90 / $1,114.59	Professional		$632.90	$632.90	$1,114.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $620.84 / $620.84 / $620.84	Facility		$620.84	$620.84	$620.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $501.08 / $672.90 / $1,100.29	Professional		$501.08	$672.90	$1,100.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $532.55 / $532.55 / $535.89	Facility		$532.55	$532.55	$535.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $516.88 / $534.78 / $565.57	Professional		$516.88	$534.78	$565.57
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.78 / $654.07 / $1,063.88	Professional		$485.78	$654.07	$1,063.88