Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,483.00 / $7,197.00	Facility		$641.00	$2,483.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.39 / $409.57 / $2,945.03	Professional		$178.39	$409.57	$2,945.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $26,582.19	Facility		$8,850.00	$16,455.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,566.43 / $3,701.02 / $3,701.02	Professional		$3,566.43	$3,701.02	$3,701.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $770.04 / $770.04 / $770.04	Facility		$770.04	$770.04	$770.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.54 / $472.72 / $4,542.16	Professional		$186.54	$472.72	$4,542.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,398.35 / $5,914.07 / $7,597.15	Professional		$4,398.35	$5,914.07	$7,597.15
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 $215.43 / $932.86 / $5,551.52	Professional		$215.43	$932.86	$5,551.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.60 / $287.60 / $5,552.40	Professional		$186.60	$287.60	$5,552.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $770.04 / $770.04 / $770.04	Facility		$770.04	$770.04	$770.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $187.54 / $491.98 / $4,542.16	Professional		$187.54	$491.98	$4,542.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $382.47 / $2,414.79	Facility		$141.25	$382.47	$2,414.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $238.97 / $403.03 / $2,640.11	Professional		$238.97	$403.03	$2,640.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.75 / $2,233.30 / $3,955.02	Professional		$215.75	$2,233.30	$3,955.02