Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,748.00 / $8,421.00	Facility		$954.00	$3,748.00	$8,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.91 / $492.73 / $654.11	Professional		$452.91	$492.73	$654.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $511.42 / $530.72 / $865.72	Professional		$511.42	$530.72	$865.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.41 / $581.41 / $581.41	Facility		$581.41	$581.41	$581.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.53 / $578.97 / $967.24	Professional		$439.53	$578.97	$967.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $609.54 / $824.37 / $1,052.84	Professional		$609.54	$824.37	$1,052.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,606.00 / $10,203.00	Facility		$1,013.00	$4,606.00	$10,203.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $452.91 / $537.66 / $2,628.84	Professional		$452.91	$537.66	$2,628.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $505.60 / $505.60 / $1,042.50	Professional		$505.60	$505.60	$1,042.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $581.41 / $581.41 / $581.41	Facility		$581.41	$581.41	$581.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $441.82 / $595.77 / $990.84	Professional		$441.82	$595.77	$990.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $426.31 / $495.05 / $495.05	Facility		$426.31	$495.05	$495.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $426.31 / $495.05 / $528.04	Professional		$426.31	$495.05	$528.04
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 $429.95 / $598.37 / $999.93	Professional		$429.95	$598.37	$999.93