Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,747.00 / $8,017.00	Facility		$540.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.49 / $405.82 / $595.51	Professional		$360.49	$405.82	$595.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $845.00 / $1,359.00 / $8,459.92	Facility		$845.00	$1,359.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $448.25 / $465.17 / $465.17	Professional		$448.25	$465.17	$465.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.85 / $684.85 / $684.85	Facility		$684.85	$684.85	$684.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.04 / $486.31 / $804.12	Professional		$367.04	$486.31	$804.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.25 / $724.69 / $927.98	Professional		$537.25	$724.69	$927.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,077.00 / $8,017.00	Facility		$934.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $364.47 / $448.00 / $1,951.98	Professional		$364.47	$448.00	$1,951.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.40 / $534.60 / $874.50	Professional		$426.40	$534.60	$874.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $684.85 / $684.85 / $684.85	Facility		$684.85	$684.85	$684.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $370.51 / $489.74 / $813.61	Professional		$370.51	$489.74	$813.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $337.54 / $393.59 / $434.38	Facility		$337.54	$393.59	$434.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $383.49 / $420.67 / $465.56	Professional		$383.49	$420.67	$465.56
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $557.00 / $3,742.00	Facility		$226.00	$557.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.62 / $503.75 / $786.14	Professional		$375.62	$503.75	$786.14