Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.48 / $2,399.17 / $3,539.30	Facility		$685.48	$2,399.17	$3,539.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.76 / $685.48 / $5,441.52	Professional		$507.76	$685.48	$5,441.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,922.93 / $3,894.96 / $8,459.92	Facility		$2,922.93	$3,894.96	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $660.09 / $660.09 / $660.09	Professional		$660.09	$660.09	$660.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.12 / $1,249.92 / $2,807.78	Facility		$803.12	$1,249.92	$2,807.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.31 / $779.91 / $1,467.96	Professional		$389.31	$779.91	$1,467.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $503.53 / $1,142.46 / $1,607.91	Professional		$503.53	$1,142.46	$1,607.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $719.33 / $2,399.17 / $3,495.10	Facility		$719.33	$2,399.17	$3,495.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $575.46 / $719.33 / $3,495.10	Professional		$575.46	$719.33	$3,495.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.48 / $1,269.40 / $1,692.54	Professional		$1,252.48	$1,269.40	$1,692.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $823.63 / $1,407.93 / $2,807.78	Facility		$823.63	$1,407.93	$2,807.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $389.31 / $783.33 / $1,473.56	Professional		$389.31	$783.33	$1,473.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $846.27 / $930.90	Facility		$846.27	$846.27	$930.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $930.90	Professional		$846.27	$846.27	$930.90
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $507.76 / $1,184.78	Professional		$355.43	$507.76	$1,184.78