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 $541.73 / $603.04 / $856.84	Professional		$541.73	$603.04	$856.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $606.84 / $629.74 / $1,088.00	Professional		$606.84	$629.74	$1,088.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.42 / $687.42 / $687.42	Facility		$687.42	$687.42	$687.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.53 / $717.80 / $1,214.65	Professional		$535.53	$717.80	$1,214.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $719.83 / $974.84 / $1,243.33	Professional		$719.83	$974.84	$1,243.33
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 $541.73 / $671.32 / $3,136.25	Professional		$541.73	$671.32	$3,136.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $664.00 / $664.00 / $1,236.59	Professional		$664.00	$664.00	$1,236.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $687.42 / $687.42 / $687.42	Facility		$687.42	$687.42	$687.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $537.64 / $741.85 / $1,219.95	Professional		$537.64	$741.85	$1,219.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $562.58 / $589.21 / $589.21	Facility		$562.58	$589.21	$589.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $562.58 / $589.21 / $626.11	Professional		$562.58	$589.21	$626.11
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 $528.51 / $723.63 / $1,204.33	Professional		$528.51	$723.63	$1,204.33