Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $4,894.00 / $8,451.00	Facility		$921.00	$4,894.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.95 / $775.82 / $978.97	Professional		$673.95	$775.82	$978.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,092.00 / $7,463.00 / $11,048.00	Facility		$4,092.00	$7,463.00	$11,048.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $759.01 / $787.66 / $1,342.09	Professional		$759.01	$787.66	$1,342.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $1,051.00 / $1,051.00	Facility		$1,051.00	$1,051.00	$1,051.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.07 / $765.43 / $1,268.19	Professional		$583.07	$765.43	$1,268.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $528.00 / $655.00 / $1,185.20	Professional		$528.00	$655.00	$1,185.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $5,424.00 / $9,617.00	Facility		$1,054.00	$5,424.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $697.89 / $835.75 / $5,958.00	Professional		$697.89	$835.75	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.10 / $724.10 / $1,004.10	Professional		$724.10	$724.10	$1,004.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $1,051.00 / $1,051.00	Facility		$1,051.00	$1,051.00	$1,051.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $601.32 / $785.15 / $1,268.19	Professional		$601.32	$785.15	$1,268.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $716.05 / $716.05 / $796.37	Facility		$716.05	$716.05	$796.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $716.05 / $730.37 / $796.37	Professional		$716.05	$730.37	$796.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.39 / $789.68 / $1,293.77	Professional		$592.39	$789.68	$1,293.77