Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,830.00 / $8,240.00	Facility		$976.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.69 / $405.00 / $586.17	Professional		$357.69	$405.00	$586.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $400.87 / $416.00 / $416.00	Professional		$400.87	$416.00	$416.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.16 / $453.16 / $453.16	Facility		$453.16	$453.16	$453.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.62 / $481.52 / $799.24	Professional		$377.62	$481.52	$799.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $472.20 / $632.47 / $815.61	Professional		$472.20	$632.47	$815.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $357.69 / $419.27 / $2,337.00	Professional		$357.69	$419.27	$2,337.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $486.40 / $486.40 / $823.30	Professional		$486.40	$486.40	$823.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $453.16 / $453.16 / $453.16	Facility		$453.16	$453.16	$453.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $378.17 / $494.27 / $815.11	Professional		$378.17	$494.27	$815.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $392.14 / $392.14 / $427.83	Facility		$392.14	$392.14	$427.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $381.89 / $392.26 / $427.83	Professional		$381.89	$392.26	$427.83
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 $368.11 / $468.23 / $735.16	Professional		$368.11	$468.23	$735.16