Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.88 / $2,326.00 / $7,799.00	Facility		$581.88	$2,326.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.42 / $525.30 / $650.79	Professional		$491.42	$525.30	$650.79
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $466.26 / $548.54 / $899.30	Professional		$466.26	$548.54	$899.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.78 / $648.78 / $648.78	Facility		$648.78	$648.78	$648.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.14 / $699.05 / $1,140.36	Professional		$515.14	$699.05	$1,140.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $325.12 / $463.24 / $833.95	Professional		$325.12	$463.24	$833.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $581.88 / $2,266.00 / $8,017.00	Facility		$581.88	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $491.42 / $558.91 / $1,728.18	Professional		$491.42	$558.91	$1,728.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $633.90 / $633.90 / $716.60	Professional		$633.90	$633.90	$716.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $648.78 / $648.78 / $648.78	Facility		$648.78	$648.78	$648.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $521.72 / $710.94 / $1,148.67	Professional		$521.72	$710.94	$1,148.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $516.85 / $516.85 / $937.45	Facility		$516.85	$516.85	$937.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $252.45 / $516.85 / $937.45	Professional		$252.45	$516.85	$937.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,447.00 / $3,198.00 / $5,850.00	Facility		$1,447.00	$3,198.00	$5,850.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.60 / $558.20 / $945.84	Professional		$335.60	$558.20	$945.84