Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $7,629.00	Facility		$641.00	$2,326.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.00 / $539.54 / $882.00	Professional		$483.00	$539.54	$882.00
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 $541.92 / $568.96 / $965.93	Professional		$541.92	$568.96	$965.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.51 / $614.51 / $614.51	Facility		$614.51	$614.51	$614.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.60 / $647.60 / $1,088.88	Professional		$491.60	$647.60	$1,088.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $643.72 / $871.49 / $1,111.88	Professional		$643.72	$871.49	$1,111.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,326.00 / $8,017.00	Facility		$657.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $491.00 / $594.24 / $2,676.35	Professional		$491.00	$594.24	$2,676.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $669.10 / $669.10 / $1,105.20	Professional		$669.10	$669.10	$1,105.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $614.51 / $614.51 / $614.51	Facility		$614.51	$614.51	$614.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $493.94 / $664.63 / $1,102.08	Professional		$493.94	$664.63	$1,102.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $525.39 / $525.39 / $576.24	Facility		$525.39	$525.39	$576.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $510.69 / $526.78 / $576.24	Professional		$510.69	$526.78	$576.24
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.33 / $641.88 / $1,056.08	Professional		$480.33	$641.88	$1,056.08