Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $7,629.00	Facility		$641.00	$2,326.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.75 / $380.50 / $436.12	Professional		$349.75	$380.50	$436.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $245.38 / $254.63 / $254.63	Professional		$245.38	$254.63	$254.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.50 / $439.50 / $439.50	Facility		$439.50	$439.50	$439.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.67 / $465.04 / $785.88	Professional		$351.67	$465.04	$785.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $905.49 / $1,114.57 / $1,564.02	Professional		$905.49	$1,114.57	$1,564.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,266.00 / $8,017.00	Facility		$657.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $349.75 / $404.44 / $1,978.00	Professional		$349.75	$404.44	$1,978.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $311.89 / $352.60	Professional		$311.89	$311.89	$352.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $439.50 / $439.50 / $439.50	Facility		$439.50	$439.50	$439.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $351.67 / $467.97 / $806.05	Professional		$351.67	$467.97	$806.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $121.04 / $121.04 / $121.04	Facility		$121.04	$121.04	$121.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.04 / $121.04 / $121.04	Professional		$121.04	$121.04	$121.04
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.01 / $454.86 / $729.37	Professional		$319.01	$454.86	$729.37