Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,240.00 / $7,629.00	Facility		$641.00	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.33 / $857.61 / $3,007.77	Professional		$363.33	$857.61	$3,007.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $754.58 / $887.74 / $1,706.39	Professional		$754.58	$887.74	$1,706.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,126.54 / $3,260.00	Facility		$526.00	$1,126.54	$3,260.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.49 / $706.60 / $3,484.46	Professional		$388.49	$706.60	$3,484.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $844.73 / $844.73 / $844.73	Facility		$844.73	$844.73	$844.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.31 / $1,394.99 / $1,779.47	Professional		$1,051.31	$1,394.99	$1,779.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,371.00 / $7,799.00	Facility		$657.00	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $365.49 / $859.86 / $3,352.85	Professional		$365.49	$859.86	$3,352.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6,646.20 / $8,058.50	Professional		$5.00	$6,646.20	$8,058.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,090.95 / $4,198.00	Facility		$526.00	$1,090.95	$4,198.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $388.49 / $734.71 / $3,554.33	Professional		$388.49	$734.71	$3,554.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $366.68 / $373.67 / $2,739.92	Facility		$366.68	$373.67	$2,739.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $363.92 / $871.70 / $965.17	Professional		$363.92	$871.70	$965.17
United Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $2,715.00 / $4,815.00	Facility		$851.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $847.39 / $1,388.16 / $3,392.30	Professional		$847.39	$1,388.16	$3,392.30