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 $516.16 / $572.05 / $742.08	Professional		$516.16	$572.05	$742.08
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 $581.04 / $602.96 / $1,035.08	Professional		$581.04	$602.96	$1,035.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.16 / $659.16 / $659.16	Facility		$659.16	$659.16	$659.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.74 / $694.69 / $1,163.99	Professional		$506.74	$694.69	$1,163.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $690.57 / $934.75 / $1,192.80	Professional		$690.57	$934.75	$1,192.80
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 $516.16 / $629.03 / $2,994.37	Professional		$516.16	$629.03	$2,994.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $596.70 / $596.70 / $1,255.30	Professional		$596.70	$596.70	$1,255.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $659.16 / $659.16 / $659.16	Facility		$659.16	$659.16	$659.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $509.09 / $709.06 / $1,167.56	Professional		$509.09	$709.06	$1,167.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $504.82 / $563.16 / $563.16	Facility		$504.82	$563.16	$563.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $504.82 / $563.16 / $599.34	Professional		$504.82	$563.16	$599.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,447.00 / $3,200.82 / $6,000.00	Facility		$1,447.00	$3,200.82	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.12 / $686.30 / $1,119.58	Professional		$496.12	$686.30	$1,119.58