Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.58 / $3,839.00 / $8,113.00	Facility		$821.58	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.21 / $766.97 / $994.01	Professional		$674.21	$766.97	$994.01
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 $771.58 / $800.70 / $1,178.53	Professional		$771.58	$800.70	$1,178.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.52 / $927.48 / $1,563.55	Professional		$657.52	$927.48	$1,563.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,736.62 / $1,736.62 / $1,736.62	Facility		$1,736.62	$1,736.62	$1,736.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $933.36 / $1,199.57 / $1,549.77	Professional		$933.36	$1,199.57	$1,549.77
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 $681.46 / $821.58 / $2,843.00	Professional		$681.46	$821.58	$2,843.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $888.00 / $888.00	Facility		$888.00	$888.00	$888.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,060.50 / $1,943.60	Professional		$6.00	$1,060.50	$1,943.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $657.52 / $919.78 / $1,563.55	Professional		$657.52	$919.78	$1,563.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $752.76 / $752.76 / $802.20	Facility		$752.76	$752.76	$802.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $722.67 / $763.53 / $802.20	Professional		$722.67	$763.53	$802.20
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 $671.47 / $872.91 / $1,506.23	Professional		$671.47	$872.91	$1,506.23