Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,747.00 / $8,113.00	Facility		$540.00	$2,747.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.16 / $404.59 / $639.71	Professional		$197.16	$404.59	$639.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $536.29 / $556.52 / $556.52	Professional		$536.29	$556.52	$556.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.80 / $355.80 / $355.80	Facility		$355.80	$355.80	$355.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.46 / $389.48 / $840.52	Professional		$206.46	$389.48	$840.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $651.90 / $879.92 / $1,126.02	Professional		$651.90	$879.92	$1,126.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $4,761.00 / $8,427.00	Facility		$657.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $197.68 / $469.05 / $1,317.80	Professional		$197.68	$469.05	$1,317.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $273.30 / $273.30 / $1,288.09	Professional		$273.30	$273.30	$1,288.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $355.80 / $355.80 / $355.80	Facility		$355.80	$355.80	$355.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $211.61 / $402.31 / $848.47	Professional		$211.61	$402.31	$848.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $198.81 / $204.84 / $561.48	Facility		$198.81	$204.84	$561.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $305.48 / $608.89	Professional		$198.81	$305.48	$608.89
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.46 / $565.94 / $931.15	Professional		$361.46	$565.94	$931.15