Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.77 / $2,675.00 / $8,017.00	Facility		$539.77	$2,675.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.06 / $503.33 / $854.49	Professional		$440.06	$503.33	$854.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $509.16 / $528.37 / $528.37	Professional		$509.16	$528.37	$528.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.85 / $580.85 / $580.85	Facility		$580.85	$580.85	$580.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.77 / $587.26 / $985.99	Professional		$439.77	$587.26	$985.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $608.37 / $822.15 / $1,050.81	Professional		$608.37	$822.15	$1,050.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,675.00 / $8,017.00	Facility		$832.00	$2,675.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $462.65 / $548.05 / $2,565.65	Professional		$462.65	$548.05	$2,565.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.29 / $589.99 / $1,002.60	Professional		$575.29	$589.99	$1,002.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $580.85 / $580.85 / $580.85	Facility		$580.85	$580.85	$580.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $443.40 / $600.12 / $1,007.76	Professional		$443.40	$600.12	$1,007.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $501.49 / $501.49 / $506.39	Facility		$501.49	$501.49	$506.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $488.83 / $501.49 / $536.27	Professional		$488.83	$501.49	$536.27
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $4,789.00	Facility		$912.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.98 / $582.91 / $959.07	Professional		$423.98	$582.91	$959.07