Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,747.00 / $8,017.00	Facility		$882.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.99 / $662.33 / $840.21	Professional		$573.99	$662.33	$840.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $653.42 / $678.08 / $1,188.56	Professional		$653.42	$678.08	$1,188.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $2,019.00 / $10,204.77	Facility		$526.00	$2,019.00	$10,204.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.73 / $773.80 / $1,289.08	Professional		$565.73	$773.80	$1,289.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,487.18 / $1,487.18 / $1,487.18	Facility		$1,487.18	$1,487.18	$1,487.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $785.94 / $1,042.76 / $1,332.32	Professional		$785.94	$1,042.76	$1,332.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,120.00 / $8,017.00	Facility		$954.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $582.00 / $716.49 / $3,153.00	Professional		$582.00	$716.49	$3,153.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,296.80 / $1,767.80	Professional		$5.00	$1,296.80	$1,767.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,657.00 / $9,710.42	Facility		$526.00	$1,657.00	$9,710.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $559.16 / $773.80 / $1,289.08	Professional		$559.16	$773.80	$1,289.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $505.20 / $649.87 / $649.87	Facility		$505.20	$649.87	$649.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $505.20 / $649.87 / $695.29	Professional		$505.20	$649.87	$695.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,648.00 / $5,726.00	Facility		$1,622.00	$3,648.00	$5,726.00
United Facility/Professional Professional Modifier Low / Median / High Price $557.51 / $718.07 / $1,222.47	Professional		$557.51	$718.07	$1,222.47