Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $7,799.00	Facility		$641.00	$2,326.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.03 / $546.05 / $1,433.83	Professional		$440.03	$546.05	$1,433.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $581.62 / $603.57 / $603.57	Professional		$581.62	$603.57	$603.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.80 / $661.80 / $661.80	Facility		$661.80	$661.80	$661.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.89 / $701.12 / $1,805.62	Professional		$444.89	$701.12	$1,805.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $695.60 / $986.28 / $1,201.48	Professional		$695.60	$986.28	$1,201.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,326.00 / $8,017.00	Facility		$657.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $463.37 / $644.78 / $2,888.30	Professional		$463.37	$644.78	$2,888.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $654.20 / $654.20 / $1,153.50	Professional		$654.20	$654.20	$1,153.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $661.80 / $661.80 / $661.80	Facility		$661.80	$661.80	$661.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $465.85 / $727.65 / $1,861.89	Professional		$465.85	$727.65	$1,861.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $566.38 / $566.38 / $1,550.30	Facility		$566.38	$566.38	$1,550.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $536.66 / $581.51 / $1,004.75	Professional		$536.66	$581.51	$1,004.75
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $536.40 / $813.70 / $1,911.44	Professional		$536.40	$813.70	$1,911.44