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 $279.06 / $308.70 / $365.67	Professional		$279.06	$308.70	$365.67
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 $235.30 / $244.18 / $244.18	Professional		$235.30	$244.18	$244.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $939.95 / $2,109.00	Facility		$491.00	$939.95	$2,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.81 / $380.00 / $606.08	Professional		$283.81	$380.00	$606.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,478.61 / $1,478.61 / $1,478.61	Facility		$1,478.61	$1,478.61	$1,478.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $633.69 / $953.35 / $1,527.90	Professional		$633.69	$953.35	$1,527.90
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 $279.27 / $328.51 / $1,659.00	Professional		$279.27	$328.51	$1,659.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $350.40 / $522.29	Professional		$5.00	$350.40	$522.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $346.31 / $932.58 / $2,151.00	Facility		$346.31	$932.58	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $284.19 / $377.73 / $625.19	Professional		$284.19	$377.73	$625.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $340.00 / $340.00 / $340.00	Facility		$340.00	$340.00	$340.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $340.00 / $340.00	Professional		$340.00	$340.00	$340.00
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.02 / $346.41 / $582.73	Professional		$266.02	$346.41	$582.73