Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,326.00 / $7,197.00	Facility		$617.00	$2,326.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.96 / $487.33 / $707.31	Professional		$444.96	$487.33	$707.31
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 $501.80 / $520.74 / $872.49	Professional		$501.80	$520.74	$872.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.63 / $570.63 / $570.63	Facility		$570.63	$570.63	$570.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.98 / $586.21 / $986.28	Professional		$429.98	$586.21	$986.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $598.19 / $808.51 / $1,033.24	Professional		$598.19	$808.51	$1,033.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $8,017.00	Facility		$641.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $444.96 / $528.03 / $2,564.15	Professional		$444.96	$528.03	$2,564.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $565.10 / $587.60 / $1,024.90	Professional		$565.10	$587.60	$1,024.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $570.63 / $570.63 / $570.63	Facility		$570.63	$570.63	$570.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $430.74 / $597.16 / $992.38	Professional		$430.74	$597.16	$992.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.78 / $485.88 / $485.88	Facility		$467.78	$485.88	$485.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.78 / $485.88 / $518.39	Professional		$467.78	$485.88	$518.39
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $4,789.00	Facility		$912.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.34 / $584.84 / $962.24	Professional		$426.34	$584.84	$962.24