Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.94 / $3,839.00 / $8,113.00	Facility		$744.94	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.69 / $694.39 / $899.06	Professional		$614.69	$694.39	$899.06
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 $698.40 / $724.76 / $724.76	Professional		$698.40	$724.76	$724.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $791.88 / $2,151.00	Facility		$500.00	$791.88	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.79 / $842.89 / $1,426.97	Professional		$603.79	$842.89	$1,426.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,573.03 / $1,573.03 / $1,573.03	Facility		$1,573.03	$1,573.03	$1,573.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $845.23 / $1,087.44 / $1,403.56	Professional		$845.23	$1,087.44	$1,403.56
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 $616.66 / $744.94 / $2,843.00	Professional		$616.66	$744.94	$2,843.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $779.70 / $779.70 / $779.70	Facility		$779.70	$779.70	$779.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $720.28 / $1,008.39 / $1,415.30	Professional		$720.28	$1,008.39	$1,415.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $791.88 / $2,151.00	Facility		$500.00	$791.88	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $610.91 / $836.21 / $1,426.97	Professional		$610.91	$836.21	$1,426.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $681.16 / $681.16 / $698.23	Facility		$681.16	$681.16	$698.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $654.20 / $690.62 / $718.90	Professional		$654.20	$690.62	$718.90
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 $603.72 / $781.52 / $1,377.82	Professional		$603.72	$781.52	$1,377.82