Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.28 / $1,819.00 / $6,432.00	Facility		$551.28	$1,819.00	$6,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.25 / $550.63 / $1,026.02	Professional		$295.25	$550.63	$1,026.02
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 $659.14 / $918.55 / $1,098.91	Professional		$659.14	$918.55	$1,098.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.84 / $561.84 / $561.84	Facility		$561.84	$561.84	$561.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.18 / $56.18 / $56.18	Facility	AS	$56.18	$56.18	$56.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.28 / $599.69 / $1,104.79	Professional		$329.28	$599.69	$1,104.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $1,070.42 / $1,373.95	Professional		$118.59	$1,070.42	$1,373.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,266.00 / $7,799.00	Facility		$617.00	$2,266.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $301.25 / $607.85 / $1,690.46	Professional		$301.25	$607.85	$1,690.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $500.60 / $500.60 / $1,459.90	Professional		$500.60	$500.60	$1,459.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $561.84 / $561.84 / $561.84	Facility		$561.84	$561.84	$561.84
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $56.18 / $56.18 / $56.18	Facility	AS	$56.18	$56.18	$56.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $333.65 / $609.05 / $1,141.94	Professional		$333.65	$609.05	$1,141.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $320.49 / $344.61 / $659.74	Facility		$320.49	$344.61	$659.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $320.49 / $527.47 / $711.57	Professional		$320.49	$527.47	$711.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,175.00 / $2,715.00 / $4,815.00	Facility		$1,175.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $620.34 / $789.70 / $1,247.32	Professional		$620.34	$789.70	$1,247.32