Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.00 / $4,250.00 / $10,398.00	Facility		$1,278.00	$4,250.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.03 / $461.35 / $671.50	Professional		$413.03	$461.35	$671.50
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 $463.98 / $489.32 / $831.08	Professional		$463.98	$489.32	$831.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.36 / $526.36 / $526.36	Facility		$526.36	$526.36	$526.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.60 / $556.29 / $931.53	Professional		$426.60	$556.29	$931.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $551.35 / $745.97 / $952.34	Professional		$551.35	$745.97	$952.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,350.00 / $11,083.00	Facility		$1,426.00	$5,350.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $413.03 / $513.16 / $2,843.00	Professional		$413.03	$513.16	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $628.10 / $628.10 / $946.00	Professional		$628.10	$628.10	$946.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $526.36 / $526.36 / $526.36	Facility		$526.36	$526.36	$526.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $426.60 / $568.67 / $943.61	Professional		$426.60	$568.67	$943.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $450.15 / $450.15 / $554.11	Facility		$450.15	$450.15	$554.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $437.39 / $451.24 / $554.11	Professional		$437.39	$451.24	$554.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.45 / $573.71 / $897.95	Professional		$427.45	$573.71	$897.95