Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $7,629.00	Facility		$641.00	$2,371.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.84 / $546.88 / $795.17	Professional		$491.84	$546.88	$795.17
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 $552.33 / $573.17 / $983.74	Professional		$552.33	$573.17	$983.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.67 / $625.67 / $625.67	Facility		$625.67	$625.67	$625.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.09 / $651.07 / $1,104.85	Professional		$484.09	$651.07	$1,104.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $655.24 / $887.68 / $1,131.77	Professional		$655.24	$887.68	$1,131.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $8,017.00	Facility		$641.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $491.84 / $604.77 / $2,841.64	Professional		$491.84	$604.77	$2,841.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $474.10 / $474.10 / $1,122.50	Professional		$474.10	$474.10	$1,122.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $625.67 / $625.67 / $625.67	Facility		$625.67	$625.67	$625.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $486.88 / $660.44 / $1,107.41	Professional		$486.88	$660.44	$1,107.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $429.91 / $536.21 / $536.21	Facility		$429.91	$536.21	$536.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $429.91 / $536.21 / $569.78	Professional		$429.91	$536.21	$569.78
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 $463.73 / $655.62 / $1,065.50	Professional		$463.73	$655.62	$1,065.50