Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.16 / $3,964.00 / $8,240.00	Facility		$917.16	$3,964.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.61 / $790.99 / $1,034.36	Professional		$628.61	$790.99	$1,034.36
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 $847.74 / $879.72 / $879.72	Professional		$847.74	$879.72	$879.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,656.00 / $8,051.32	Facility		$649.00	$2,656.00	$8,051.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.10 / $919.72 / $1,505.54	Professional		$649.10	$919.72	$1,505.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,499.72 / $1,499.72 / $1,499.72	Facility		$1,499.72	$1,499.72	$1,499.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.90 / $1,344.98 / $1,718.48	Professional		$1,013.90	$1,344.98	$1,718.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $635.21 / $850.67 / $2,987.91	Professional		$635.21	$850.67	$2,987.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $758.70 / $758.70 / $758.70	Facility		$758.70	$758.70	$758.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $909.10 / $2,248.40	Professional		$5.00	$909.10	$2,248.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,109.00 / $7,661.29	Facility		$649.00	$2,109.00	$7,661.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $649.91 / $919.72 / $1,550.11	Professional		$649.91	$919.72	$1,550.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $612.91 / $658.64 / $842.65	Facility		$612.91	$658.64	$842.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $640.03 / $698.95 / $897.68	Professional		$640.03	$698.95	$897.68
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $704.83 / $953.12 / $1,615.44	Professional		$704.83	$953.12	$1,615.44