Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $7,799.00	Facility		$882.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.51 / $468.36 / $681.32	Professional		$430.51	$468.36	$681.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $485.65 / $503.98 / $853.68	Professional		$485.65	$503.98	$853.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.66 / $551.66 / $551.66	Facility		$551.66	$551.66	$551.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.22 / $563.74 / $935.09	Professional		$421.22	$563.74	$935.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $578.07 / $781.60 / $998.49	Professional		$578.07	$781.60	$998.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $430.51 / $500.35 / $2,488.41	Professional		$430.51	$500.35	$2,488.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $485.20 / $485.20 / $989.00	Professional		$485.20	$485.20	$989.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $551.66 / $551.66 / $551.66	Facility		$551.66	$551.66	$551.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $421.50 / $568.83 / $954.28	Professional		$421.50	$568.83	$954.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $434.29 / $470.11 / $470.11	Facility		$434.29	$470.11	$470.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $434.29 / $470.11 / $500.98	Professional		$434.29	$470.11	$500.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.45 / $545.36 / $887.05	Professional		$410.45	$545.36	$887.05