Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,679.00 / $8,017.00	Facility		$540.00	$2,679.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.52 / $410.07 / $663.21	Professional		$298.52	$410.07	$663.21
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 $453.55 / $470.67 / $859.29	Professional		$453.55	$470.67	$859.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.65 / $565.65 / $565.65	Facility		$565.65	$565.65	$565.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.66 / $486.90 / $836.58	Professional		$328.66	$486.90	$836.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $542.29 / $729.14 / $936.70	Professional		$542.29	$729.14	$936.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $2,679.00 / $8,017.00	Facility		$934.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $312.58 / $454.67 / $1,717.87	Professional		$312.58	$454.67	$1,717.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $568.20 / $586.90 / $1,040.00	Professional		$568.20	$586.90	$1,040.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $565.65 / $565.65 / $565.65	Facility		$565.65	$565.65	$565.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $333.45 / $495.91 / $873.59	Professional		$333.45	$495.91	$873.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $315.52 / $437.56 / $561.78	Facility		$315.52	$437.56	$561.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $315.52 / $428.33 / $473.80	Professional		$315.52	$428.33	$473.80
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 $419.03 / $572.77 / $902.71	Professional		$419.03	$572.77	$902.71