Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,070.00 / $7,197.00	Facility		$594.00	$2,070.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.83 / $301.00 / $491.17	Professional		$271.83	$301.00	$491.17
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 $315.54 / $327.45 / $327.45	Professional		$315.54	$327.45	$327.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.11 / $357.11 / $357.11	Facility		$357.11	$357.11	$357.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.83 / $380.53 / $621.16	Professional		$279.83	$380.53	$621.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $375.05 / $513.08 / $647.80	Professional		$375.05	$513.08	$647.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,266.00 / $8,017.00	Facility		$641.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $273.10 / $345.55 / $1,612.72	Professional		$273.10	$345.55	$1,612.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $368.70 / $368.70 / $646.50	Professional		$368.70	$368.70	$646.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $357.11 / $357.11 / $357.11	Facility		$357.11	$357.11	$357.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $285.25 / $392.81 / $630.66	Professional		$285.25	$392.81	$630.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $294.45 / $307.64 / $307.64	Facility		$294.45	$307.64	$307.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $294.45 / $307.64 / $326.77	Professional		$294.45	$307.64	$326.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,515.00 / $12,076.00	Facility		$3,340.00	$6,515.00	$12,076.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.06 / $396.66 / $554.46	Professional		$297.06	$396.66	$554.46