Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.42 / $2,679.00 / $8,017.00	Facility		$842.42	$2,679.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.67 / $587.49 / $912.32	Professional		$509.67	$587.49	$912.32
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 $587.97 / $610.16 / $610.16	Professional		$587.97	$610.16	$610.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $669.01 / $669.01 / $669.01	Facility		$669.01	$669.01	$669.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.12 / $748.83 / $1,185.25	Professional		$567.12	$748.83	$1,185.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $686.95 / $935.34 / $1,186.55	Professional		$686.95	$935.34	$1,186.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,679.00 / $8,017.00	Facility		$918.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $514.45 / $635.73 / $2,843.00	Professional		$514.45	$635.73	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $791.00 / $791.00 / $1,275.59	Professional		$791.00	$791.00	$1,275.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $669.01 / $669.01 / $669.01	Facility		$669.01	$669.01	$669.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $567.12 / $758.38 / $1,215.32	Professional		$567.12	$758.38	$1,215.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.84 / $575.84 / $604.60	Facility		$575.84	$575.84	$604.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $554.00 / $582.98 / $604.60	Professional		$554.00	$582.98	$604.60
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $572.10 / $764.44 / $1,143.34	Professional		$572.10	$764.44	$1,143.34