Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.84 / $3,839.00 / $8,113.00	Facility		$721.84	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.08 / $669.65 / $861.34	Professional		$559.08	$669.65	$861.34
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 $671.83 / $697.18 / $1,073.58	Professional		$671.83	$697.18	$1,073.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $759.22 / $2,151.00	Facility		$500.00	$759.22	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.42 / $781.50 / $1,373.73	Professional		$550.42	$781.50	$1,373.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,521.70 / $1,521.70 / $1,521.70	Facility		$1,521.70	$1,521.70	$1,521.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $797.08 / $1,059.25 / $1,356.75	Professional		$797.08	$1,059.25	$1,356.75
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 $576.98 / $717.64 / $2,843.00	Professional		$576.98	$717.64	$2,843.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $674.10 / $674.10 / $674.10	Facility		$674.10	$674.10	$674.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $816.30 / $1,727.10	Professional		$5.00	$816.30	$1,727.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $759.22 / $2,151.00	Facility		$500.00	$759.22	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $550.42 / $781.50 / $1,317.98	Professional		$550.42	$781.50	$1,317.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $558.58 / $655.42 / $655.42	Facility		$558.58	$655.42	$655.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $558.58 / $655.42 / $695.13	Professional		$558.58	$655.42	$695.13
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 $557.66 / $746.75 / $1,260.85	Professional		$557.66	$746.75	$1,260.85