Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.84 / $2,070.00 / $7,197.00	Facility		$455.84	$2,070.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.07 / $381.12 / $513.51	Professional		$217.07	$381.12	$513.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $422.33 / $438.26 / $748.66	Professional		$422.33	$438.26	$748.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.02 / $417.02 / $417.02	Facility		$417.02	$417.02	$417.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.29 / $417.10 / $755.46	Professional		$236.29	$417.10	$755.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $502.51 / $668.58 / $867.98	Professional		$502.51	$668.58	$867.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,266.00 / $8,017.00	Facility		$617.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $224.03 / $413.86 / $1,426.00	Professional		$224.03	$413.86	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $749.50 / $749.50 / $969.90	Professional		$749.50	$749.50	$969.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $417.02 / $417.02 / $417.02	Facility		$417.02	$417.02	$417.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $244.14 / $419.47 / $763.74	Professional		$244.14	$419.47	$763.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $237.91 / $264.36 / $544.25	Facility		$237.91	$264.36	$544.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $237.91 / $418.78 / $456.22	Professional		$237.91	$418.78	$456.22
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,219.00 / $3,742.00	Facility		$471.00	$1,219.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.52 / $554.50 / $831.26	Professional		$404.52	$554.50	$831.26