Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.00 / $2,551.50 / $3,764.03	Facility		$729.00	$2,551.50	$3,764.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $729.00 / $1,350.00	Professional		$306.00	$729.00	$1,350.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,108.51 / $4,142.25 / $8,459.92	Facility		$3,108.51	$4,142.25	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $702.00 / $702.00	Professional		$702.00	$702.00	$702.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.10 / $1,329.73 / $2,987.07	Facility		$854.10	$1,329.73	$2,987.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.14 / $961.25 / $2,035.86	Professional		$424.14	$961.25	$2,035.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $535.50 / $1,179.00 / $1,710.00	Professional		$535.50	$1,179.00	$1,710.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $2,551.50 / $3,717.00	Facility		$765.00	$2,551.50	$3,717.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $738.00 / $3,717.00	Professional		$306.00	$738.00	$3,717.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,332.00 / $1,350.00 / $1,800.00	Professional		$1,332.00	$1,350.00	$1,800.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $875.90 / $1,497.31 / $2,987.07	Facility		$875.90	$1,497.31	$2,987.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $584.75 / $963.57 / $2,035.86	Professional		$584.75	$963.57	$2,035.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $330.22 / $900.00 / $900.00	Facility		$330.22	$900.00	$900.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $330.22 / $900.00 / $900.00	Professional		$330.22	$900.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $540.00 / $1,201.68	Professional		$378.00	$540.00	$1,201.68