Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,830.00 / $8,240.00	Facility		$976.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.31 / $426.68 / $618.36	Professional		$381.31	$426.68	$618.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,463.00 / $11,091.00	Facility		$4,150.00	$7,463.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $429.41 / $445.68 / $755.09	Professional		$429.41	$445.68	$755.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.67 / $487.67 / $487.67	Facility		$487.67	$487.67	$487.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.10 / $503.69 / $860.99	Professional		$381.10	$503.69	$860.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $511.04 / $691.19 / $882.70	Professional		$511.04	$691.19	$882.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $381.31 / $467.60 / $2,170.58	Professional		$381.31	$467.60	$2,170.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $513.50 / $513.50 / $875.60	Professional		$513.50	$513.50	$875.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $487.67 / $487.67 / $487.67	Facility		$487.67	$487.67	$487.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $381.17 / $514.95 / $860.99	Professional		$381.17	$514.95	$860.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $415.99 / $415.99 / $503.89	Facility		$415.99	$415.99	$503.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $404.45 / $416.71 / $503.89	Professional		$404.45	$416.71	$503.89
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 $375.24 / $494.21 / $772.69	Professional		$375.24	$494.21	$772.69