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 $525.07 / $579.39 / $964.80	Professional		$525.07	$579.39	$964.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $619.80 / $643.20 / $643.20	Professional		$619.80	$643.20	$643.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $704.17 / $704.17 / $704.17	Facility		$704.17	$704.17	$704.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.41 / $734.06 / $1,232.17	Professional		$500.41	$734.06	$1,232.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $746.76 / $1,045.29 / $1,289.84	Professional		$746.76	$1,045.29	$1,289.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,077.00 / $8,017.00	Facility		$954.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $531.54 / $674.73 / $3,068.43	Professional		$531.54	$674.73	$3,068.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $545.90 / $545.90 / $1,251.50	Professional		$545.90	$545.90	$1,251.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $704.17 / $704.17 / $704.17	Facility		$704.17	$704.17	$704.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $516.22 / $744.82 / $1,232.17	Professional		$516.22	$744.82	$1,232.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $515.69 / $601.05 / $601.05	Facility		$515.69	$601.05	$601.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $515.69 / $601.05 / $641.79	Professional		$515.69	$601.05	$641.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $533.77 / $751.41 / $1,137.32	Professional		$533.77	$751.41	$1,137.32