Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,938.00 / $7,629.00	Facility		$540.00	$2,938.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.08 / $400.25 / $529.76	Professional		$304.08	$400.25	$529.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $441.14 / $457.79 / $755.44	Professional		$441.14	$457.79	$755.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.37 / $555.37 / $555.37	Facility		$555.37	$555.37	$555.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.24 / $440.04 / $770.08	Professional		$317.24	$440.04	$770.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $526.59 / $704.39 / $909.57	Professional		$526.59	$704.39	$909.57
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 $317.18 / $446.26 / $1,749.00	Professional		$317.18	$446.26	$1,749.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $359.60 / $359.60 / $933.20	Professional		$359.60	$359.60	$933.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $555.37 / $555.37 / $555.37	Facility		$555.37	$555.37	$555.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $326.43 / $463.17 / $787.95	Professional		$326.43	$463.17	$787.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $278.07 / $322.83 / $437.28	Facility		$278.07	$322.83	$437.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $314.45 / $371.08 / $468.35	Professional		$314.45	$371.08	$468.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.90 / $510.24 / $805.09	Professional		$374.90	$510.24	$805.09