Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,747.00 / $8,017.00	Facility		$882.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.24 / $569.52 / $731.48	Professional		$471.24	$569.52	$731.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $571.63 / $593.20 / $773.43	Professional		$571.63	$593.20	$773.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.00 / $1,865.00 / $3,858.13	Facility		$489.00	$1,865.00	$3,858.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.46 / $655.63 / $1,169.27	Professional		$443.46	$655.63	$1,169.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,296.04 / $1,296.04 / $1,296.04	Facility		$1,296.04	$1,296.04	$1,296.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $678.88 / $903.28 / $1,155.39	Professional		$678.88	$903.28	$1,155.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,120.00 / $8,017.00	Facility		$954.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $500.60 / $630.16 / $2,940.84	Professional		$500.60	$630.16	$2,940.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $557.50 / $557.50 / $557.50	Facility		$557.50	$557.50	$557.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $747.60 / $1,472.50	Professional		$5.00	$747.60	$1,472.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $1,403.00 / $3,671.23	Facility		$460.00	$1,403.00	$3,671.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $447.49 / $655.63 / $1,153.52	Professional		$447.49	$655.63	$1,153.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $550.95 / $557.04 / $557.04	Facility		$550.95	$557.04	$557.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $537.63 / $557.04 / $591.29	Professional		$537.63	$557.04	$591.29
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.24 / $613.04 / $1,120.93	Professional		$447.24	$613.04	$1,120.93