Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $7,799.00	Facility		$882.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.41 / $617.44 / $908.10	Professional		$553.41	$617.44	$908.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $621.02 / $644.46 / $1,112.80	Professional		$621.02	$644.46	$1,112.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.80 / $703.80 / $703.80	Facility		$703.80	$703.80	$703.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.32 / $727.48 / $1,245.04	Professional		$518.32	$727.48	$1,245.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $737.02 / $997.79 / $1,273.04	Professional		$737.02	$997.79	$1,273.04
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 $553.41 / $685.49 / $3,209.36	Professional		$553.41	$685.49	$3,209.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $683.20 / $683.20 / $1,270.00	Professional		$683.20	$683.20	$1,270.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $703.80 / $703.80 / $703.80	Facility		$703.80	$703.80	$703.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $537.16 / $741.07 / $1,246.69	Professional		$537.16	$741.07	$1,246.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $594.20 / $602.97 / $602.97	Facility		$594.20	$602.97	$602.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $585.34 / $602.97 / $641.03	Professional		$585.34	$602.97	$641.03
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 $526.72 / $726.48 / $1,231.11	Professional		$526.72	$726.48	$1,231.11