Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.19 / $3,589.00 / $8,240.00	Facility		$845.19	$3,589.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $579.84 / $852.16	Professional		$519.62	$579.84	$852.16
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 $582.77 / $615.36 / $1,043.44	Professional		$582.77	$615.36	$1,043.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.27 / $660.27 / $660.27	Facility		$660.27	$660.27	$660.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.66 / $696.28 / $1,170.14	Professional		$524.66	$696.28	$1,170.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.44 / $936.36 / $1,194.30	Professional		$691.44	$936.36	$1,194.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $4,534.00 / $8,404.00	Facility		$976.00	$4,534.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $641.85 / $3,012.55	Professional		$519.62	$641.85	$3,012.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $701.80 / $701.80 / $1,186.70	Professional		$701.80	$701.80	$1,186.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $660.27 / $660.27 / $660.27	Facility		$660.27	$660.27	$660.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $527.49 / $714.71 / $1,182.43	Professional		$527.49	$714.71	$1,182.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $566.34 / $566.34 / $597.70	Facility		$566.34	$566.34	$597.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $549.89 / $568.37 / $601.95	Professional		$549.89	$568.37	$601.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.54 / $694.58 / $1,140.23	Professional		$524.54	$694.58	$1,140.23