Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,070.00 / $7,197.00	Facility		$428.00	$2,070.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.08 / $332.95 / $444.97	Professional		$240.08	$332.95	$444.97
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 $367.18 / $381.04 / $381.04	Professional		$367.18	$381.04	$381.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.75 / $441.75 / $441.75	Facility		$441.75	$441.75	$441.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.95 / $396.40 / $691.97	Professional		$265.95	$396.40	$691.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $439.25 / $584.82 / $758.71	Professional		$439.25	$584.82	$758.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,266.00 / $8,017.00	Facility		$641.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $247.62 / $370.23 / $1,471.04	Professional		$247.62	$370.23	$1,471.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $312.80 / $312.80 / $864.20	Professional		$312.80	$312.80	$864.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $441.75 / $441.75 / $441.75	Facility		$441.75	$441.75	$441.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $404.41 / $730.80	Professional		$267.32	$404.41	$730.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $252.62 / $264.47 / $358.53	Facility		$252.62	$264.47	$358.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $251.52 / $352.61 / $384.78	Professional		$251.52	$352.61	$384.78
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 $321.63 / $461.48 / $769.72	Professional		$321.63	$461.48	$769.72