Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $3,627.00 / $8,669.93	Facility		$594.00	$3,627.00	$8,669.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.72 / $462.32 / $726.52	Professional		$396.72	$462.32	$726.52
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 $480.68 / $498.82 / $498.82	Professional		$480.68	$498.82	$498.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.45 / $546.45 / $546.45	Facility		$546.45	$546.45	$546.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.60 / $552.10 / $909.64	Professional		$403.60	$552.10	$909.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $775.17 / $989.65	Professional		$572.96	$775.17	$989.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,964.00 / $8,247.00	Facility		$832.00	$3,964.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $425.44 / $497.51 / $2,371.71	Professional		$425.44	$497.51	$2,371.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $538.29 / $538.29 / $979.40	Professional		$538.29	$538.29	$979.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $546.45 / $546.45 / $546.45	Facility		$546.45	$546.45	$546.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $414.14 / $560.40 / $943.17	Professional		$414.14	$560.40	$943.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $451.73 / $465.23 / $526.20	Facility		$451.73	$465.23	$526.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $452.96 / $465.71 / $496.22	Professional		$452.96	$465.71	$496.22
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $632.00 / $3,742.00	Facility		$162.00	$632.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.24 / $562.29 / $940.68	Professional		$405.24	$562.29	$940.68