Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $7,629.00	Facility		$641.00	$2,371.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.98 / $441.64 / $613.96	Professional		$395.98	$441.64	$613.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $459.91 / $477.27 / $771.66	Professional		$459.91	$477.27	$771.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.76 / $523.76 / $523.76	Facility		$523.76	$523.76	$523.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.21 / $513.69 / $833.67	Professional		$366.21	$513.69	$833.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.42 / $742.63 / $949.01	Professional		$549.42	$742.63	$949.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,371.00 / $8,017.00	Facility		$657.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $396.47 / $484.51 / $2,188.01	Professional		$396.47	$484.51	$2,188.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.10 / $436.10 / $903.90	Professional		$436.10	$436.10	$903.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $523.76 / $523.76 / $523.76	Facility		$523.76	$523.76	$523.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $386.35 / $519.91 / $901.43	Professional		$386.35	$519.91	$901.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $381.33 / $444.17 / $444.17	Facility		$381.33	$444.17	$444.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $381.33 / $444.17 / $474.62	Professional		$381.33	$444.17	$474.62
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 $377.59 / $501.42 / $832.36	Professional		$377.59	$501.42	$832.36