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 $491.17 / $604.54 / $726.64	Professional		$491.17	$604.54	$726.64
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 $655.32 / $770.96 / $1,263.95	Professional		$655.32	$770.96	$1,263.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $1,200.00 / $5,647.00	Facility		$560.00	$1,200.00	$5,647.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.75 / $781.62 / $1,366.69	Professional		$506.75	$781.62	$1,366.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,140.92 / $2,140.92 / $2,140.92	Facility		$2,140.92	$2,140.92	$2,140.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.58 / $1,406.04 / $1,993.81	Professional		$1,199.58	$1,406.04	$1,993.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $491.17 / $637.32 / $1,749.00	Professional		$491.17	$637.32	$1,749.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $1,200.00 / $5,647.00	Facility		$560.00	$1,200.00	$5,647.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $506.75 / $780.11 / $1,300.76	Professional		$506.75	$780.11	$1,300.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $726.42 / $726.42 / $752.56	Facility		$726.42	$726.42	$752.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $310.55 / $726.42 / $934.52	Professional		$310.55	$726.42	$934.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,591.00 / $7,000.00 / $11,238.00	Facility		$3,591.00	$7,000.00	$11,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.61 / $930.54 / $1,488.01	Professional		$490.61	$930.54	$1,488.01