Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.60 / $2,747.00 / $7,263.00	Facility		$792.60	$2,747.00	$7,263.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.57 / $516.53 / $812.31	Professional		$417.57	$516.53	$812.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $538.79 / $559.13 / $668.13	Professional		$538.79	$559.13	$668.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $613.78 / $613.78 / $613.78	Facility		$613.78	$613.78	$613.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.40 / $588.10 / $1,017.83	Professional		$396.40	$588.10	$1,017.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $650.79 / $907.32 / $1,124.11	Professional		$650.79	$907.32	$1,124.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,748.00 / $8,017.00	Facility		$832.00	$3,748.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $432.95 / $559.39 / $2,668.63	Professional		$432.95	$559.39	$2,668.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $576.40 / $576.40 / $1,097.30	Professional		$576.40	$576.40	$1,097.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $613.78 / $613.78 / $613.78	Facility		$613.78	$613.78	$613.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $419.72 / $601.54 / $1,030.30	Professional		$419.72	$601.54	$1,030.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $437.94 / $521.00 / $534.23	Facility		$437.94	$521.00	$534.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $500.56 / $527.82 / $557.82	Professional		$500.56	$527.82	$557.82
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 $443.86 / $626.63 / $971.19	Professional		$443.86	$626.63	$971.19