Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,748.00 / $8,017.00	Facility		$832.00	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.62 / $620.54 / $799.21	Professional		$525.62	$620.54	$799.21
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 $622.19 / $645.66 / $645.66	Professional		$622.19	$645.66	$645.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,983.20 / $3,938.52	Facility		$526.00	$1,983.20	$3,938.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.97 / $724.03 / $1,271.50	Professional		$498.97	$724.03	$1,271.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,407.11 / $1,407.11 / $1,407.11	Facility		$1,407.11	$1,407.11	$1,407.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $737.06 / $978.03 / $1,255.19	Professional		$737.06	$978.03	$1,255.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $554.03 / $683.00 / $3,209.66	Professional		$554.03	$683.00	$3,209.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $489.40 / $489.40 / $489.40	Facility		$489.40	$489.40	$489.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $660.90 / $1,594.70	Professional		$5.00	$660.90	$1,594.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,657.00 / $3,747.73	Facility		$526.00	$1,657.00	$3,747.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $498.97 / $722.31 / $1,267.32	Professional		$498.97	$722.31	$1,267.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $479.02 / $607.47 / $607.47	Facility		$479.02	$607.47	$607.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $479.02 / $607.47 / $643.51	Professional		$479.02	$607.47	$643.51
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 $485.59 / $694.83 / $1,241.22	Professional		$485.59	$694.83	$1,241.22