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 $307.07 / $339.79 / $570.33	Professional		$307.07	$339.79	$570.33
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 $348.67 / $361.82 / $611.19	Professional		$348.67	$361.82	$611.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.91 / $396.91 / $396.91	Facility		$396.91	$396.91	$396.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.79 / $408.30 / $691.27	Professional		$307.79	$408.30	$691.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $416.36 / $563.04 / $719.17	Professional		$416.36	$563.04	$719.17
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 $307.07 / $367.75 / $1,794.94	Professional		$307.07	$367.75	$1,794.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $712.70	Professional		$600.00	$600.00	$712.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $396.91 / $396.91 / $396.91	Facility		$396.91	$396.91	$396.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $310.66 / $423.03 / $691.27	Professional		$310.66	$423.03	$691.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $337.44 / $337.44 / $598.36	Facility		$337.44	$337.44	$598.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $328.69 / $337.44 / $598.36	Professional		$328.69	$337.44	$598.36
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.43 / $408.08 / $667.82	Professional		$296.43	$408.08	$667.82