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 $295.23 / $333.39 / $483.27	Professional		$295.23	$333.39	$483.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $339.19 / $351.99 / $601.19	Professional		$339.19	$351.99	$601.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.47 / $380.47 / $380.47	Facility		$380.47	$380.47	$380.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.04 / $404.48 / $659.17	Professional		$301.04	$404.48	$659.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $391.44 / $515.86 / $676.12	Professional		$391.44	$515.86	$676.12
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 $297.68 / $342.01 / $1,728.21	Professional		$297.68	$342.01	$1,728.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $300.30 / $404.16 / $663.00	Professional		$300.30	$404.16	$663.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $380.47 / $380.47 / $380.47	Facility		$380.47	$380.47	$380.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $307.73 / $415.98 / $666.81	Professional		$307.73	$415.98	$666.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $280.58 / $327.79 / $327.79	Facility		$280.58	$327.79	$327.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $280.58 / $327.79 / $342.95	Professional		$280.58	$327.79	$342.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.48 / $388.74 / $617.22	Professional		$305.48	$388.74	$617.22