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 $379.18 / $415.68 / $621.95	Professional		$379.18	$415.68	$621.95
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 $427.08 / $526.41 / $759.25	Professional		$427.08	$526.41	$759.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.07 / $485.07 / $485.07	Facility		$485.07	$485.07	$485.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.13 / $506.95 / $856.23	Professional		$375.13	$506.95	$856.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $508.31 / $687.44 / $877.99	Professional		$508.31	$687.44	$877.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,326.00 / $8,017.00	Facility		$657.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $379.18 / $440.64 / $2,108.96	Professional		$379.18	$440.64	$2,108.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.80 / $478.80 / $871.10	Professional		$478.80	$478.80	$871.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $485.07 / $485.07 / $485.07	Facility		$485.07	$485.07	$485.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $375.41 / $518.90 / $856.23	Professional		$375.41	$518.90	$856.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $404.78 / $413.69 / $413.69	Facility		$404.78	$413.69	$413.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $402.25 / $413.69 / $440.81	Professional		$402.25	$413.69	$440.81
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 $377.52 / $506.36 / $840.33	Professional		$377.52	$506.36	$840.33