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 $695.48 / $769.87 / $957.45	Professional		$695.48	$769.87	$957.45
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 $743.06 / $771.10 / $771.10	Professional		$743.06	$771.10	$771.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.00 / $939.95 / $1,869.98	Facility		$489.00	$939.95	$1,869.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.85 / $928.63 / $1,529.88	Professional		$595.85	$928.63	$1,529.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,689.37 / $1,689.37 / $1,689.37	Facility		$1,689.37	$1,689.37	$1,689.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $892.77 / $1,184.43 / $1,513.33	Professional		$892.77	$1,184.43	$1,513.33
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 $695.48 / $813.20 / $3,153.00	Professional		$695.48	$813.20	$3,153.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $608.79 / $608.79 / $608.79	Facility		$608.79	$608.79	$608.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $727.00 / $2,004.80	Professional		$5.00	$727.00	$2,004.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $932.58 / $1,869.98	Facility		$460.00	$932.58	$1,869.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $606.03 / $915.89 / $1,547.59	Professional		$606.03	$915.89	$1,547.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $693.48 / $740.23 / $740.23	Facility		$693.48	$740.23	$740.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $693.48 / $740.23 / $791.39	Professional		$693.48	$740.23	$791.39
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 $615.76 / $865.86 / $1,486.54	Professional		$615.76	$865.86	$1,486.54