Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $1,777.00 / $7,175.00	Facility		$428.00	$1,777.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.95 / $388.01 / $623.80	Professional		$209.95	$388.01	$623.80
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 $465.41 / $482.98 / $482.98	Professional		$465.41	$482.98	$482.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.87 / $407.87 / $407.87	Facility		$407.87	$407.87	$407.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.78 / $420.67 / $758.53	Professional		$226.78	$420.67	$758.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.92 / $760.76 / $972.33	Professional		$562.92	$760.76	$972.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $1,901.00 / $7,799.00	Facility		$536.00	$1,901.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $210.04 / $423.06 / $1,187.68	Professional		$210.04	$423.06	$1,187.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $288.39 / $288.39 / $986.50	Professional		$288.39	$288.39	$986.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $407.87 / $407.87 / $407.87	Facility		$407.87	$407.87	$407.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $229.06 / $426.62 / $788.44	Professional		$229.06	$426.62	$788.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $225.38 / $225.74 / $448.95	Facility		$225.38	$225.74	$448.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $225.38 / $346.15 / $484.17	Professional		$225.38	$346.15	$484.17
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 $404.82 / $549.14 / $803.50	Professional		$404.82	$549.14	$803.50