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 $298.11 / $456.06 / $604.83	Professional		$298.11	$456.06	$604.83
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 $498.01 / $516.79 / $923.89	Professional		$498.01	$516.79	$923.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.65 / $557.65 / $557.65	Facility		$557.65	$557.65	$557.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.83 / $483.79 / $863.10	Professional		$306.83	$483.79	$863.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $601.27 / $807.43 / $1,038.56	Professional		$601.27	$807.43	$1,038.56
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 $302.18 / $484.69 / $1,749.00	Professional		$302.18	$484.69	$1,749.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $378.70 / $378.70 / $1,079.50	Professional		$378.70	$378.70	$1,079.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $557.65 / $557.65 / $557.65	Facility		$557.65	$557.65	$557.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $313.45 / $493.31 / $930.10	Professional		$313.45	$493.31	$930.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $268.97 / $320.44 / $493.38	Facility		$268.97	$320.44	$493.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $312.52 / $413.58 / $532.45	Professional		$312.52	$413.58	$532.45
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 $416.41 / $584.99 / $1,004.34	Professional		$416.41	$584.99	$1,004.34