Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,747.00 / $8,017.00	Facility		$832.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.36 / $444.91 / $605.22	Professional		$395.36	$444.91	$605.22
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 $500.73 / $519.63 / $852.06	Professional		$500.73	$519.63	$852.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $563.92 / $563.92 / $563.92	Facility		$563.92	$563.92	$563.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.82 / $593.69 / $927.93	Professional		$432.82	$593.69	$927.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $639.39 / $770.74 / $791.11	Professional		$639.39	$770.74	$791.11
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 $416.36 / $468.77 / $2,535.12	Professional		$416.36	$468.77	$2,535.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $634.20 / $1,260.50	Professional		$3.00	$634.20	$1,260.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $563.92 / $563.92 / $563.92	Facility		$563.92	$563.92	$563.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $442.59 / $595.67 / $982.03	Professional		$442.59	$595.67	$982.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $401.54 / $485.83 / $485.83	Facility		$401.54	$485.83	$485.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $401.54 / $485.83 / $512.27	Professional		$401.54	$485.83	$512.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,824.00 / $6,000.00	Facility		$1,122.00	$2,824.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.87 / $575.05 / $1,013.50	Professional		$427.87	$575.05	$1,013.50