Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.17 / $2,747.00 / $8,247.00	Facility		$751.17	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.70 / $700.00 / $995.83	Professional		$628.70	$700.00	$995.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $714.82 / $741.80 / $1,240.24	Professional		$714.82	$741.80	$1,240.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $810.92 / $810.92 / $810.92	Facility		$810.92	$810.92	$810.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.03 / $845.21 / $1,437.70	Professional		$626.03	$845.21	$1,437.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $849.52 / $1,149.69 / $1,467.35	Professional		$849.52	$1,149.69	$1,467.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,427.00	Facility		$832.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $646.83 / $751.17 / $2,843.00	Professional		$646.83	$751.17	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $818.30 / $818.30 / $1,483.50	Professional		$818.30	$818.30	$1,483.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $810.92 / $810.92 / $810.92	Facility		$810.92	$810.92	$810.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $629.02 / $861.81 / $1,454.74	Professional		$629.02	$861.81	$1,454.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $695.81 / $700.68 / $700.68	Facility		$695.81	$700.68	$700.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $680.97 / $700.68 / $745.96	Professional		$680.97	$700.68	$745.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.41 / $841.01 / $1,312.46	Professional		$629.41	$841.01	$1,312.46