Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,505.00 / $7,629.00	Facility		$617.00	$2,505.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.08 / $488.15 / $2,903.45	Professional		$236.08	$488.15	$2,903.45
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 $907.61 / $2,210.59 / $5,566.70	Professional		$907.61	$2,210.59	$5,566.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $958.00 / $2,109.00	Facility		$491.00	$958.00	$2,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.10 / $568.91 / $4,129.68	Professional		$260.10	$568.91	$4,129.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $525.13 / $525.13 / $525.13	Facility		$525.13	$525.13	$525.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,617.73 / $3,494.69 / $4,449.45	Professional		$2,617.73	$3,494.69	$4,449.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $7,799.00	Facility		$641.00	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $238.07 / $687.68 / $4,459.21	Professional		$238.07	$687.68	$4,459.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $2,686.19 / $6,957.40	Professional		$4.00	$2,686.19	$6,957.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $406.07 / $942.93 / $2,656.00	Facility		$406.07	$942.93	$2,656.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $576.37 / $3,908.38	Professional		$262.99	$576.37	$3,908.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $234.18 / $280.50 / $3,402.08	Facility		$234.18	$280.50	$3,402.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $234.18 / $2,235.46 / $2,497.40	Professional		$234.18	$2,235.46	$2,497.40
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,734.00 / $4,300.00	Facility		$550.00	$1,734.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.41 / $2,806.96 / $5,450.70	Professional		$471.41	$2,806.96	$5,450.70