Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.28 / $2,747.00 / $8,247.00	Facility		$654.28	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.29 / $609.42 / $919.51	Professional		$552.29	$609.42	$919.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $638.88 / $662.99 / $1,157.07	Professional		$638.88	$662.99	$1,157.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.03 / $724.03 / $724.03	Facility		$724.03	$724.03	$724.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.10 / $765.53 / $1,237.89	Professional		$555.10	$765.53	$1,237.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $755.57 / $1,036.24 / $1,305.07	Professional		$755.57	$1,036.24	$1,305.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,427.00	Facility		$832.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $552.29 / $655.78 / $3,272.76	Professional		$552.29	$655.78	$3,272.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.30 / $707.30 / $1,300.80	Professional		$707.30	$707.30	$1,300.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $724.03 / $724.03 / $724.03	Facility		$724.03	$724.03	$724.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $566.63 / $784.31 / $1,237.89	Professional		$566.63	$784.31	$1,237.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $623.52 / $623.52 / $649.98	Facility		$623.52	$623.52	$649.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $599.97 / $631.02 / $659.53	Professional		$599.97	$631.02	$659.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $611.76 / $798.73 / $1,256.16	Professional		$611.76	$798.73	$1,256.16