Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.69 / $3,964.00 / $8,113.00	Facility		$807.69	$3,964.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.76 / $757.53 / $946.23	Professional		$621.76	$757.53	$946.23
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 $633.26 / $745.01 / $1,221.42	Professional		$633.26	$745.01	$1,221.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $990.36 / $1,779.65	Professional		$532.00	$990.36	$1,779.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,903.04 / $1,903.04 / $1,903.04	Facility		$1,903.04	$1,903.04	$1,903.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,066.29 / $1,249.79 / $1,772.25	Professional		$1,066.29	$1,249.79	$1,772.25
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 $621.76 / $787.21 / $2,398.83	Professional		$621.76	$787.21	$2,398.83
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 $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $982.53 / $1,693.79	Professional		$532.00	$982.53	$1,693.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $646.04 / $670.44 / $1,023.42	Facility		$646.04	$670.44	$1,023.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $624.24 / $701.98 / $822.97	Professional		$624.24	$701.98	$822.97
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 $631.78 / $949.12 / $1,619.38	Professional		$631.78	$949.12	$1,619.38