Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.00 / $4,304.00 / $8,240.00	Facility		$926.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.01 / $735.42 / $951.22	Professional		$642.01	$735.42	$951.22
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 $738.45 / $766.32 / $1,128.38	Professional		$738.45	$766.32	$1,128.38
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 $637.00 / $892.44 / $1,516.20	Professional		$637.00	$892.44	$1,516.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,663.10 / $1,663.10 / $1,663.10	Facility		$1,663.10	$1,663.10	$1,663.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $893.61 / $1,149.66 / $1,484.02	Professional		$893.61	$1,149.66	$1,484.02
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 $653.19 / $792.17 / $3,794.51	Professional		$653.19	$792.17	$3,794.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $805.20 / $805.20 / $805.20	Facility		$805.20	$805.20	$805.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $761.54 / $962.80 / $1,561.40	Professional		$761.54	$962.80	$1,561.40
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 $641.21 / $885.25 / $1,516.20	Professional		$641.21	$885.25	$1,516.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $654.98 / $720.73 / $720.73	Facility		$654.98	$720.73	$720.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $654.98 / $720.73 / $760.64	Professional		$654.98	$720.73	$760.64
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 $650.47 / $858.65 / $1,483.24	Professional		$650.47	$858.65	$1,483.24