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 $539.67 / $606.88 / $927.12	Professional		$539.67	$606.88	$927.12
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 $610.95 / $634.01 / $1,119.89	Professional		$610.95	$634.01	$1,119.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.27 / $2,409.53 / $5,037.67	Facility		$692.27	$2,409.53	$5,037.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.42 / $740.00 / $1,255.50	Professional		$517.42	$740.00	$1,255.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,377.43 / $1,377.43 / $1,377.43	Facility		$1,377.43	$1,377.43	$1,377.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $739.90 / $953.29 / $1,228.76	Professional		$739.90	$953.29	$1,228.76
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 $561.00 / $696.14 / $3,135.96	Professional		$561.00	$696.14	$3,135.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $563.10 / $563.10 / $563.10	Facility		$563.10	$563.10	$563.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $563.10 / $744.10 / $1,298.90	Professional		$563.10	$744.10	$1,298.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $692.27 / $2,390.62 / $5,647.00	Facility		$692.27	$2,390.62	$5,647.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $520.37 / $733.04 / $1,255.50	Professional		$520.37	$733.04	$1,255.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $538.46 / $595.47 / $595.47	Facility		$538.46	$595.47	$595.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $538.46 / $595.47 / $628.97	Professional		$538.46	$595.47	$628.97
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 $509.01 / $687.24 / $1,222.82	Professional		$509.01	$687.24	$1,222.82