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 $505.98 / $634.85 / $839.20	Professional		$505.98	$634.85	$839.20
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 $647.73 / $672.18 / $1,099.47	Professional		$647.73	$672.18	$1,099.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $735.78 / $735.78 / $735.78	Facility		$735.78	$735.78	$735.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.27 / $737.57 / $1,222.77	Professional		$562.27	$737.57	$1,222.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $771.11 / $1,042.92 / $1,331.92	Professional		$771.11	$1,042.92	$1,331.92
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 $586.14 / $689.26 / $3,313.64	Professional		$586.14	$689.26	$3,313.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $741.10 / $741.10 / $1,348.70	Professional		$741.10	$741.10	$1,348.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $735.78 / $735.78 / $735.78	Facility		$735.78	$735.78	$735.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $564.51 / $759.01 / $1,269.59	Professional		$564.51	$759.01	$1,269.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $569.54 / $635.33 / $635.33	Facility		$569.54	$635.33	$635.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $569.54 / $635.33 / $677.37	Professional		$569.54	$635.33	$677.37
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 $544.37 / $726.10 / $1,236.41	Professional		$544.37	$726.10	$1,236.41