Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.08 / $3,839.00 / $8,113.00	Facility		$545.08	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.66 / $503.91 / $645.50	Professional		$442.66	$503.91	$645.50
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 $506.63 / $712.97 / $948.54	Professional		$506.63	$712.97	$948.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,998.88 / $4,716.00	Facility		$526.00	$1,998.88	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.41 / $605.79 / $1,037.33	Professional		$446.41	$605.79	$1,037.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,152.08 / $1,152.08 / $1,152.08	Facility		$1,152.08	$1,152.08	$1,152.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $614.37 / $805.59 / $1,026.39	Professional		$614.37	$805.59	$1,026.39
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 $442.66 / $543.71 / $1,749.53	Professional		$442.66	$543.71	$1,749.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $504.20 / $504.20 / $504.20	Facility		$504.20	$504.20	$504.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $578.29 / $1,312.30	Professional		$5.00	$578.29	$1,312.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,983.20 / $5,647.00	Facility		$526.00	$1,983.20	$5,647.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $600.17 / $1,037.33	Professional		$455.00	$600.17	$1,037.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $451.01 / $492.67 / $492.67	Facility		$451.01	$492.67	$492.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $451.01 / $492.67 / $524.21	Professional		$451.01	$492.67	$524.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,313.00 / $3,074.00 / $5,484.78	Facility		$1,313.00	$3,074.00	$5,484.78
United Facility/Professional Professional Modifier Low / Median / High Price $441.93 / $578.58 / $993.32	Professional		$441.93	$578.58	$993.32