Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.00 / $4,304.00 / $8,240.00	Facility		$926.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.87 / $626.64 / $776.22	Professional		$566.87	$626.64	$776.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $604.05 / $626.86 / $626.86	Professional		$604.05	$626.86	$626.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,993.85 / $3,928.61	Facility		$649.00	$1,993.85	$3,928.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.42 / $769.32 / $1,227.08	Professional		$522.42	$769.32	$1,227.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,358.20 / $1,358.20 / $1,358.20	Facility		$1,358.20	$1,358.20	$1,358.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $718.52 / $953.35 / $1,218.08	Professional		$718.52	$953.35	$1,218.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,247.00	Facility		$1,020.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $566.87 / $692.29 / $3,229.78	Professional		$566.87	$692.29	$3,229.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $727.70 / $727.70 / $727.70	Facility		$727.70	$727.70	$727.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $873.10 / $1,568.40	Professional		$5.00	$873.10	$1,568.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,978.20 / $3,738.29	Facility		$649.00	$1,978.20	$3,738.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $523.57 / $767.69 / $1,314.96	Professional		$523.57	$767.69	$1,314.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $596.77 / $596.77 / $684.17	Facility		$596.77	$596.77	$684.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $581.27 / $596.86 / $684.17	Professional		$581.27	$596.86	$684.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,530.00 / $3,879.00 / $7,000.00	Facility		$1,530.00	$3,879.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.38 / $711.01 / $1,179.32	Professional		$541.38	$711.01	$1,179.32