Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $7,629.00	Facility		$641.00	$2,371.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.47 / $509.93 / $726.35	Professional		$285.47	$509.93	$726.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $173.94 / $204.64 / $204.64	Professional		$173.94	$204.64	$204.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.20 / $847.20 / $847.20	Facility		$847.20	$847.20	$847.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,526.70 / $3,526.70 / $3,526.70	Professional		$3,526.70	$3,526.70	$3,526.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $984.88 / $984.88 / $984.88	Professional		$984.88	$984.88	$984.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $8,017.00	Facility		$641.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $285.47 / $509.93 / $1,544.00	Professional		$285.47	$509.93	$1,544.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $657.70 / $657.70 / $690.60	Professional		$657.70	$657.70	$690.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $847.20 / $847.20 / $847.20	Facility		$847.20	$847.20	$847.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,526.70 / $3,526.70 / $3,526.70	Professional		$3,526.70	$3,526.70	$3,526.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $731.16 / $731.16 / $805.08	Facility		$731.16	$731.16	$805.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $731.16 / $774.38 / $805.08	Professional		$731.16	$774.38	$805.08
United Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $2,391.00 / $6,322.00	Facility		$448.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $633.37 / $889.87 / $1,445.01	Professional		$633.37	$889.87	$1,445.01