Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,066.00 / $8,017.00	Facility		$540.00	$3,066.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.37 / $451.86 / $763.46	Professional		$320.37	$451.86	$763.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $497.74 / $516.53 / $516.53	Professional		$497.74	$516.53	$516.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $595.22 / $595.22 / $595.22	Facility		$595.22	$595.22	$595.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.32 / $529.92 / $895.93	Professional		$358.32	$529.92	$895.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $589.11 / $780.46 / $1,017.55	Professional		$589.11	$780.46	$1,017.55
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 $336.00 / $519.79 / $1,749.00	Professional		$336.00	$519.79	$1,749.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $624.29 / $624.29 / $1,104.30	Professional		$624.29	$624.29	$1,104.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $595.22 / $595.22 / $595.22	Facility		$595.22	$595.22	$595.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $363.82 / $535.91 / $936.36	Professional		$363.82	$535.91	$936.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $337.94 / $473.35 / $571.37	Facility		$337.94	$473.35	$571.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $337.35 / $477.83 / $518.50	Professional		$337.35	$477.83	$518.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.41 / $615.12 / $1,025.81	Professional		$479.41	$615.12	$1,025.81