Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $7,799.00	Facility		$882.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.41 / $474.98 / $698.46	Professional		$401.41	$474.98	$698.46
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 $477.66 / $495.68 / $851.19	Professional		$477.66	$495.68	$851.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.35 / $542.35 / $542.35	Facility		$542.35	$542.35	$542.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.44 / $557.29 / $941.43	Professional		$417.44	$557.29	$941.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $568.28 / $768.57 / $981.58	Professional		$568.28	$768.57	$981.58
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 $410.26 / $501.38 / $2,469.17	Professional		$410.26	$501.38	$2,469.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $546.20 / $546.20 / $990.00	Professional		$546.20	$546.20	$990.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $542.35 / $542.35 / $542.35	Facility		$542.35	$542.35	$542.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $420.15 / $564.28 / $941.43	Professional		$420.15	$564.28	$941.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $455.99 / $463.12 / $463.12	Facility		$455.99	$463.12	$463.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $450.29 / $463.12 / $493.33	Professional		$450.29	$463.12	$493.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,214.00 / $2,874.00 / $6,113.23	Facility		$1,214.00	$2,874.00	$6,113.23
United Facility/Professional Professional Modifier Low / Median / High Price $400.19 / $546.14 / $921.98	Professional		$400.19	$546.14	$921.98