Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.35 / $3,839.00 / $8,113.00	Facility		$659.35	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.09 / $619.98 / $801.47	Professional		$575.09	$619.98	$801.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $627.79 / $651.49 / $651.49	Professional		$627.79	$651.49	$651.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $711.65 / $2,151.00	Facility		$500.00	$711.65	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.00 / $776.91 / $1,334.56	Professional		$546.00	$776.91	$1,334.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,405.97 / $1,405.97 / $1,405.97	Facility		$1,405.97	$1,405.97	$1,405.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $743.85 / $986.81 / $1,260.83	Professional		$743.85	$986.81	$1,260.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $580.97 / $659.35 / $2,843.00	Professional		$580.97	$659.35	$2,843.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $816.90 / $816.90 / $816.90	Facility		$816.90	$816.90	$816.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,003.90 / $1,595.20	Professional		$6.00	$1,003.90	$1,595.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $711.65 / $2,151.00	Facility		$500.00	$711.65	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $547.86 / $773.45 / $1,334.56	Professional		$547.86	$773.45	$1,334.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $615.00 / $615.00 / $909.44	Facility		$615.00	$615.00	$909.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $597.98 / $616.21 / $909.44	Professional		$597.98	$616.21	$909.44
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.13 / $713.54 / $1,166.33	Professional		$543.13	$713.54	$1,166.33