Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,623.00 / $7,629.00	Facility		$954.00	$3,623.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.83 / $609.74 / $893.90	Professional		$547.83	$609.74	$893.90
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 $612.83 / $635.95 / $635.95	Professional		$612.83	$635.95	$635.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.13 / $694.13 / $694.13	Facility		$694.13	$694.13	$694.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.04 / $738.71 / $1,233.51	Professional		$566.04	$738.71	$1,233.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $726.85 / $984.57 / $1,255.46	Professional		$726.85	$984.57	$1,255.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $547.83 / $677.96 / $3,027.67	Professional		$547.83	$677.96	$3,027.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $934.80 / $934.80 / $1,250.30	Professional		$934.80	$934.80	$1,250.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $694.13 / $694.13 / $694.13	Facility		$694.13	$694.13	$694.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $569.20 / $756.23 / $1,246.45	Professional		$569.20	$756.23	$1,246.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $595.76 / $595.76 / $843.04	Facility		$595.76	$595.76	$843.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $578.08 / $598.02 / $843.04	Professional		$578.08	$598.02	$843.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.16 / $716.68 / $1,131.09	Professional		$541.16	$716.68	$1,131.09