Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.13 / $3,589.00 / $8,240.00	Facility		$674.13	$3,589.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.33 / $587.82 / $777.79	Professional		$452.33	$587.82	$777.79
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 $649.52 / $674.03 / $674.03	Professional		$649.52	$674.03	$674.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.21 / $835.21 / $835.21	Facility		$835.21	$835.21	$835.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.69 / $695.78 / $1,169.13	Professional		$498.69	$695.78	$1,169.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $762.61 / $1,007.92 / $1,317.23	Professional		$762.61	$1,007.92	$1,317.23
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 $472.59 / $674.13 / $2,608.92	Professional		$472.59	$674.13	$2,608.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $779.60 / $779.60 / $1,418.60	Professional		$779.60	$779.60	$1,418.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $835.21 / $835.21 / $835.21	Facility		$835.21	$835.21	$835.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $501.87 / $704.67 / $1,204.61	Professional		$501.87	$704.67	$1,204.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $475.10 / $582.49 / $674.97	Facility		$475.10	$582.49	$674.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $475.08 / $622.61 / $673.45	Professional		$475.08	$622.61	$673.45
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 $636.15 / $805.56 / $1,254.01	Professional		$636.15	$805.56	$1,254.01