Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,623.00 / $7,263.00	Facility		$540.00	$3,623.00	$7,263.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.19 / $380.17 / $581.44	Professional		$346.19	$380.17	$581.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $397.63 / $419.05 / $720.12	Professional		$397.63	$419.05	$720.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.96 / $451.96 / $451.96	Facility		$451.96	$451.96	$451.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.09 / $470.19 / $781.98	Professional		$343.09	$470.19	$781.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $473.77 / $640.63 / $818.33	Professional		$473.77	$640.63	$818.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,839.00 / $8,017.00	Facility		$832.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $346.19 / $412.24 / $2,040.56	Professional		$346.19	$412.24	$2,040.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.20 / $705.40 / $831.00	Professional		$501.20	$705.40	$831.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $451.96 / $451.96 / $451.96	Facility		$451.96	$451.96	$451.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $345.34 / $473.42 / $781.98	Professional		$345.34	$473.42	$781.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $380.16 / $380.16 / $587.66	Facility		$380.16	$380.16	$587.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $369.85 / $380.58 / $407.20	Professional		$369.85	$380.58	$407.20
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 $336.57 / $468.04 / $727.04	Professional		$336.57	$468.04	$727.04