Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.48 / $2,679.00 / $8,017.00	Facility		$488.48	$2,679.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.51 / $380.04 / $640.85	Professional		$193.51	$380.04	$640.85
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 $439.79 / $456.39 / $918.57	Professional		$439.79	$456.39	$918.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.62 / $375.62 / $375.62	Facility		$375.62	$375.62	$375.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $396.36 / $809.11	Professional		$209.50	$396.36	$809.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $527.03 / $701.41 / $910.33	Professional		$527.03	$701.41	$910.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,679.00 / $8,017.00	Facility		$918.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $430.48 / $1,539.00	Professional		$200.62	$430.48	$1,539.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $741.60 / $1,274.09	Professional		$5.00	$741.60	$1,274.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $375.62 / $375.62 / $375.62	Facility		$375.62	$375.62	$375.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $210.57 / $402.80 / $821.07	Professional		$210.57	$402.80	$821.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $216.59 / $297.74 / $458.84	Facility		$216.59	$297.74	$458.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $216.59 / $437.07 / $477.46	Professional		$216.59	$437.07	$477.46
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 $451.65 / $637.59 / $990.56	Professional		$451.65	$637.59	$990.56