Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,748.00 / $8,017.00	Facility		$832.00	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.08 / $511.15 / $649.63	Professional		$472.08	$511.15	$649.63
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 $507.13 / $526.26 / $526.26	Professional		$507.13	$526.26	$526.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,978.20 / $3,928.61	Facility		$526.00	$1,978.20	$3,928.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.43 / $633.04 / $1,017.52	Professional		$442.43	$633.04	$1,017.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,135.32 / $1,135.32 / $1,135.32	Facility		$1,135.32	$1,135.32	$1,135.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $600.72 / $796.96 / $1,018.28	Professional		$600.72	$796.96	$1,018.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $472.08 / $568.25 / $2,656.78	Professional		$472.08	$568.25	$2,656.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $571.40 / $571.40 / $571.40	Facility		$571.40	$571.40	$571.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $683.20 / $1,293.59	Professional		$5.00	$683.20	$1,293.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,657.00 / $3,738.29	Facility		$526.00	$1,657.00	$3,738.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $445.95 / $625.16 / $1,070.75	Professional		$445.95	$625.16	$1,070.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $479.56 / $498.40 / $498.40	Facility		$479.56	$498.40	$498.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $479.56 / $498.40 / $526.42	Professional		$479.56	$498.40	$526.42
United Facility/Professional Facility Modifier Low / Median / High Price $573.00 / $2,533.00 / $10,329.04	Facility		$573.00	$2,533.00	$10,329.04
United Facility/Professional Professional Modifier Low / Median / High Price $441.63 / $605.15 / $1,004.53	Professional		$441.63	$605.15	$1,004.53