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 / $8,104.00	Facility		$882.00	$2,747.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.41 / $669.84 / $866.93	Professional		$577.41	$669.84	$866.93
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 $593.36 / $698.07 / $698.07	Professional		$593.36	$698.07	$698.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.00 / $1,865.00 / $4,650.74	Facility		$489.00	$1,865.00	$4,650.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.64 / $800.12 / $1,368.16	Professional		$572.64	$800.12	$1,368.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,515.76 / $1,515.76 / $1,515.76	Facility		$1,515.76	$1,515.76	$1,515.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $814.29 / $1,048.50 / $1,352.45	Professional		$814.29	$1,048.50	$1,352.45
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 $578.59 / $718.92 / $3,152.59	Professional		$578.59	$718.92	$3,152.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $731.90 / $731.90 / $731.90	Facility		$731.90	$731.90	$731.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $873.20 / $1,703.90	Professional		$7.00	$873.20	$1,703.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $1,403.00 / $4,425.45	Facility		$460.00	$1,403.00	$4,425.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $575.10 / $795.03 / $1,353.21	Professional		$575.10	$795.03	$1,353.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $603.80 / $657.05 / $657.05	Facility		$603.80	$657.05	$657.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $603.80 / $657.05 / $693.78	Professional		$603.80	$657.05	$693.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,265.00 / $3,331.00 / $6,000.00	Facility		$1,265.00	$3,331.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $584.26 / $755.65 / $1,331.61	Professional		$584.26	$755.65	$1,331.61