Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.60 / $3,451.00 / $4,851.42	Facility		$939.60	$3,451.00	$4,851.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $939.60 / $986.00	Professional		$696.00	$939.60	$986.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $934.39 / $934.39 / $934.39	Professional		$934.39	$934.39	$934.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.66 / $1,508.00 / $3,849.84	Facility		$778.66	$1,508.00	$3,849.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.64 / $630.64 / $2,623.88	Professional		$546.64	$630.64	$2,623.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $712.78 / $1,617.22 / $2,276.09	Professional		$712.78	$1,617.22	$2,276.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $939.60 / $3,293.24 / $4,790.80	Facility		$939.60	$3,293.24	$4,790.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $761.31 / $958.35 / $4,790.80	Professional		$761.31	$958.35	$4,790.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,772.95 / $1,796.91 / $2,395.88	Professional		$1,772.95	$1,796.91	$2,395.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $802.02 / $1,513.53 / $3,849.84	Facility		$802.02	$1,513.53	$3,849.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $546.64 / $1,115.15 / $2,623.88	Professional		$546.64	$1,115.15	$2,623.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $1,160.00	Facility		$1,160.00	$1,160.00	$1,160.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $1,160.00	Professional		$1,160.00	$1,160.00	$1,160.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $1,624.00	Professional		$487.20	$696.00	$1,624.00