Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $7,799.00	Facility		$882.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.34 / $398.87 / $580.66	Professional		$352.34	$398.87	$580.66
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 $412.91 / $430.26 / $730.01	Professional		$412.91	$430.26	$730.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $469.44 / $469.44	Facility		$469.44	$469.44	$469.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.22 / $477.71 / $826.51	Professional		$341.22	$477.71	$826.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $492.20 / $665.76 / $850.16	Professional		$492.20	$665.76	$850.16
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 $365.63 / $435.58 / $2,121.98	Professional		$365.63	$435.58	$2,121.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $492.30 / $492.30 / $841.60	Professional		$492.30	$492.30	$841.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $469.44 / $469.44	Facility		$469.44	$469.44	$469.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $371.63 / $482.52 / $826.51	Professional		$371.63	$482.52	$826.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $398.78 / $398.78 / $436.54	Facility		$398.78	$398.78	$436.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $388.05 / $399.13 / $436.54	Professional		$388.05	$399.13	$436.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.86 / $465.30 / $782.35	Professional		$345.86	$465.30	$782.35