Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,747.00 / $8,017.00	Facility		$918.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.90 / $642.80 / $949.68	Professional		$573.90	$642.80	$949.68
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 $642.24 / $681.77 / $1,156.31	Professional		$642.24	$681.77	$1,156.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.86 / $726.86 / $726.86	Facility		$726.86	$726.86	$726.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.10 / $777.21 / $1,290.86	Professional		$598.10	$777.21	$1,290.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $760.88 / $1,030.83 / $1,314.25	Professional		$760.88	$1,030.83	$1,314.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,120.00 / $8,017.00	Facility		$954.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $573.90 / $710.93 / $3,165.57	Professional		$573.90	$710.93	$3,165.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.10 / $836.60 / $1,307.20	Professional		$794.10	$836.60	$1,307.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $726.86 / $726.86 / $726.86	Facility		$726.86	$726.86	$726.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $598.10 / $797.45 / $1,311.00	Professional		$598.10	$797.45	$1,311.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $624.48 / $624.48 / $673.71	Facility		$624.48	$624.48	$673.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $605.61 / $627.20 / $673.71	Professional		$605.61	$627.20	$673.71
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 $594.40 / $767.50 / $1,197.74	Professional		$594.40	$767.50	$1,197.74