Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.00 / $4,534.00 / $8,240.00	Facility		$926.00	$4,534.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.55 / $615.22 / $795.74	Professional		$525.55	$615.22	$795.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,567.00 / $11,091.00	Facility		$4,150.00	$7,567.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $619.69 / $643.07 / $1,136.08	Professional		$619.69	$643.07	$1,136.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,390.62 / $4,747.66	Facility		$649.00	$2,390.62	$4,747.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.89 / $743.99 / $1,273.32	Professional		$523.89	$743.99	$1,273.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,397.47 / $1,397.47 / $1,397.47	Facility		$1,397.47	$1,397.47	$1,397.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $750.39 / $967.82 / $1,246.97	Professional		$750.39	$967.82	$1,246.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,247.00	Facility		$1,020.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $551.28 / $683.00 / $3,183.02	Professional		$551.28	$683.00	$3,183.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $702.50 / $702.50 / $702.50	Facility		$702.50	$702.50	$702.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $639.73 / $888.28 / $1,257.30	Professional		$639.73	$888.28	$1,257.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,109.00 / $4,517.67	Facility		$649.00	$2,109.00	$4,517.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $527.80 / $743.45 / $1,273.32	Professional		$527.80	$743.45	$1,273.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $581.26 / $603.51 / $603.51	Facility		$581.26	$603.51	$603.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $580.20 / $603.51 / $637.64	Professional		$580.20	$603.51	$637.64
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 $532.79 / $702.24 / $1,192.01	Professional		$532.79	$702.24	$1,192.01