Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.00 / $1,701.00 / $2,509.36	Facility		$486.00	$1,701.00	$2,509.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $492.00 / $2,630.00	Professional		$360.00	$492.00	$2,630.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,072.34 / $2,761.50 / $8,459.92	Facility		$2,072.34	$2,761.50	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $468.00 / $468.00	Professional		$468.00	$468.00	$468.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.40 / $886.16 / $1,990.66	Facility		$569.40	$886.16	$1,990.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.37 / $553.71 / $1,042.20	Professional		$276.37	$553.71	$1,042.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $357.00 / $810.00 / $1,140.00	Professional		$357.00	$810.00	$1,140.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,701.00 / $2,478.00	Facility		$510.00	$1,701.00	$2,478.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $510.00 / $2,630.00	Professional		$432.00	$510.00	$2,630.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $888.00 / $900.00 / $1,200.00	Professional		$888.00	$900.00	$1,200.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $584.04 / $998.21 / $1,990.66	Facility		$584.04	$998.21	$1,990.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $276.39 / $556.14 / $1,046.18	Professional		$276.39	$556.14	$1,046.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $660.00	Facility		$600.00	$600.00	$660.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $660.00	Professional		$600.00	$600.00	$660.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $900.00	Professional		$252.00	$360.00	$900.00