Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,422.00 / $8,017.00	Facility		$641.00	$2,422.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $592.48 / $685.32	Professional		$517.50	$592.48	$685.32
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 $562.48 / $661.74 / $1,084.91	Professional		$562.48	$661.74	$1,084.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $683.24 / $683.24 / $683.24	Facility		$683.24	$683.24	$683.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.32 / $728.33 / $1,180.29	Professional		$542.32	$728.33	$1,180.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $305.27 / $434.97 / $893.07	Professional		$305.27	$434.97	$893.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,371.00 / $8,017.00	Facility		$657.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $612.77 / $2,843.00	Professional		$517.50	$612.77	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $638.90 / $638.90 / $755.00	Professional		$638.90	$638.90	$755.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $683.24 / $683.24 / $683.24	Facility		$683.24	$683.24	$683.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $548.98 / $748.04 / $1,190.22	Professional		$548.98	$748.04	$1,190.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $623.52 / $623.52 / $931.75	Facility		$623.52	$623.52	$931.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $267.16 / $623.52 / $931.75	Professional		$267.16	$623.52	$931.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,000.00	Facility		$2,155.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.01 / $631.66 / $1,073.81	Professional		$335.01	$631.66	$1,073.81