Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,066.00 / $7,799.00	Facility		$832.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.01 / $461.95 / $774.15	Professional		$401.01	$461.95	$774.15
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 $476.69 / $494.68 / $835.84	Professional		$476.69	$494.68	$835.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.62 / $541.62 / $541.62	Facility		$541.62	$541.62	$541.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.90 / $566.49 / $950.59	Professional		$427.90	$566.49	$950.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $567.71 / $767.99 / $980.59	Professional		$567.71	$767.99	$980.59
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 $422.02 / $493.10 / $2,360.73	Professional		$422.02	$493.10	$2,360.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $826.70 / $834.00 / $974.90	Professional		$826.70	$834.00	$974.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $541.62 / $541.62 / $541.62	Facility		$541.62	$541.62	$541.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $427.90 / $581.67 / $950.59	Professional		$427.90	$581.67	$950.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $462.51 / $462.51 / $759.67	Facility		$462.51	$462.51	$759.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $449.84 / $463.16 / $759.67	Professional		$449.84	$463.16	$759.67
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 $411.37 / $571.02 / $922.22	Professional		$411.37	$571.02	$922.22