Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,747.00 / $8,017.00	Facility		$540.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.08 / $370.93 / $519.91	Professional		$257.08	$370.93	$519.91
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 $406.04 / $421.37 / $770.51	Professional		$406.04	$421.37	$770.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.61 / $477.61 / $477.61	Facility		$477.61	$477.61	$477.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.18 / $427.93 / $726.77	Professional		$287.18	$427.93	$726.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $481.81 / $638.22 / $832.22	Professional		$481.81	$638.22	$832.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,120.00 / $8,017.00	Facility		$934.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $270.67 / $414.02 / $1,489.82	Professional		$270.67	$414.02	$1,489.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $458.50 / $458.50 / $918.30	Professional		$458.50	$458.50	$918.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $477.61 / $477.61 / $477.61	Facility		$477.61	$477.61	$477.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $287.58 / $431.82 / $748.26	Professional		$287.58	$431.82	$748.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $271.75 / $384.23 / $502.34	Facility		$271.75	$384.23	$502.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $271.08 / $392.92 / $427.02	Professional		$271.08	$392.92	$427.02
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 $388.32 / $507.98 / $833.46	Professional		$388.32	$507.98	$833.46