Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,142.00 / $7,799.00	Facility		$882.00	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.50 / $627.83 / $910.19	Professional		$555.50	$627.83	$910.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $622.45 / $658.90 / $1,118.09	Professional		$622.45	$658.90	$1,118.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $704.92 / $704.92 / $704.92	Facility		$704.92	$704.92	$704.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.42 / $777.08 / $1,268.08	Professional		$596.42	$777.08	$1,268.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $738.03 / $999.50 / $1,274.79	Professional		$738.03	$999.50	$1,274.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $555.50 / $683.92 / $3,221.71	Professional		$555.50	$683.92	$3,221.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $904.10 / $904.10 / $1,267.20	Professional		$904.10	$904.10	$1,267.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $704.92 / $704.92 / $704.92	Facility		$704.92	$704.92	$704.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $596.42 / $792.74 / $1,312.07	Professional		$596.42	$792.74	$1,312.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $604.64 / $604.64 / $845.35	Facility		$604.64	$604.64	$845.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $586.69 / $606.94 / $845.35	Professional		$586.69	$606.94	$845.35
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 $598.61 / $787.98 / $1,200.43	Professional		$598.61	$787.98	$1,200.43