Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.25 / $3,589.00 / $8,240.00	Facility		$826.25	$3,589.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.15 / $658.98 / $842.78	Professional		$465.15	$658.98	$842.78
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 $766.92 / $795.86 / $1,292.55	Professional		$766.92	$795.86	$1,292.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.51 / $883.51 / $883.51	Facility		$883.51	$883.51	$883.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.11 / $722.72 / $1,229.96	Professional		$465.11	$722.72	$1,229.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $923.41 / $1,244.68 / $1,594.97	Professional		$923.41	$1,244.68	$1,594.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,597.00 / $8,404.00	Facility		$1,013.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $465.18 / $726.37 / $1,992.00	Professional		$465.18	$726.37	$1,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $811.20 / $906.10 / $1,652.80	Professional		$811.20	$906.10	$1,652.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $883.51 / $883.51 / $883.51	Facility		$883.51	$883.51	$883.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $493.83 / $741.44 / $1,261.85	Professional		$493.83	$741.44	$1,261.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $507.11 / $522.00 / $759.41	Facility		$507.11	$522.00	$759.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $507.11 / $728.45 / $817.24	Professional		$507.11	$728.45	$817.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $601.51 / $792.05 / $1,242.21	Professional		$601.51	$792.05	$1,242.21