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 $377.86 / $420.59 / $636.42	Professional		$377.86	$420.59	$636.42
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 $416.24 / $494.72 / $779.93	Professional		$416.24	$494.72	$779.93
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 $398.24 / $538.57 / $877.68	Professional		$398.24	$538.57	$877.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $487.34 / $647.04 / $841.78	Professional		$487.34	$647.04	$841.78
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 $378.48 / $539.33 / $2,524.11	Professional		$378.48	$539.33	$2,524.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $582.29 / $582.29 / $996.50	Professional		$582.29	$582.29	$996.50
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 $409.25 / $549.40 / $928.08	Professional		$409.25	$549.40	$928.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $402.68 / $402.68 / $518.69	Facility		$402.68	$402.68	$518.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $392.86 / $402.68 / $518.69	Professional		$392.86	$402.68	$518.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.09 / $569.39 / $953.22	Professional		$424.09	$569.39	$953.22