Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,747.00 / $8,017.00	Facility		$918.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.89 / $550.69 / $903.21	Professional		$494.89	$550.69	$903.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $580.24 / $602.14 / $602.14	Professional		$580.24	$602.14	$602.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.46 / $658.46 / $658.46	Facility		$658.46	$658.46	$658.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.20 / $699.40 / $1,144.85	Professional		$488.20	$699.40	$1,144.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $675.75 / $896.89 / $1,167.21	Professional		$675.75	$896.89	$1,167.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,077.00 / $8,017.00	Facility		$934.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $498.34 / $646.29 / $3,072.06	Professional		$498.34	$646.29	$3,072.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $636.29 / $1,225.40	Professional		$27.40	$636.29	$1,225.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $658.46 / $658.46 / $658.46	Facility		$658.46	$658.46	$658.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $499.46 / $705.39 / $1,144.85	Professional		$499.46	$705.39	$1,144.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $561.70 / $561.70 / $735.90	Facility		$561.70	$561.70	$735.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $547.21 / $561.82 / $735.90	Professional		$547.21	$561.82	$735.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $2,824.00 / $5,678.00	Facility		$1,747.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.22 / $706.79 / $1,093.20	Professional		$539.22	$706.79	$1,093.20