Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $7,763.00	Facility		$641.00	$2,371.00	$7,763.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.34 / $404.54 / $565.85	Professional		$370.34	$404.54	$565.85
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 $418.62 / $434.41 / $726.94	Professional		$418.62	$434.41	$726.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.15 / $476.15 / $476.15	Facility		$476.15	$476.15	$476.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.11 / $481.89 / $819.62	Professional		$355.11	$481.89	$819.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $499.25 / $674.97 / $862.33	Professional		$499.25	$674.97	$862.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,371.00 / $8,017.00	Facility		$657.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $370.34 / $449.32 / $2,131.73	Professional		$370.34	$449.32	$2,131.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $441.10 / $441.10 / $853.40	Professional		$441.10	$441.10	$853.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $476.15 / $476.15 / $476.15	Facility		$476.15	$476.15	$476.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $359.21 / $492.93 / $823.99	Professional		$359.21	$492.93	$823.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $382.58 / $404.13 / $404.13	Facility		$382.58	$404.13	$404.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $382.58 / $404.13 / $431.26	Professional		$382.58	$404.13	$431.26
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.76 / $480.47 / $799.24	Professional		$356.76	$480.47	$799.24