Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,747.00 / $8,017.00	Facility		$918.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.10 / $477.70 / $797.31	Professional		$426.10	$477.70	$797.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $512.21 / $531.54 / $914.07	Professional		$512.21	$531.54	$914.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.90 / $582.90 / $582.90	Facility		$582.90	$582.90	$582.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.01 / $593.21 / $1,008.15	Professional		$397.01	$593.21	$1,008.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $618.01 / $862.61 / $1,067.48	Professional		$618.01	$862.61	$1,067.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,077.00 / $8,017.00	Facility		$954.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $432.92 / $554.85 / $2,532.48	Professional		$432.92	$554.85	$2,532.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $470.00 / $470.00 / $1,036.59	Professional		$470.00	$470.00	$1,036.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $582.90 / $582.90 / $582.90	Facility		$582.90	$582.90	$582.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $422.99 / $601.25 / $1,018.47	Professional		$422.99	$601.25	$1,018.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $496.81 / $496.81 / $508.51	Facility		$496.81	$496.81	$508.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $476.72 / $503.94 / $531.41	Professional		$476.72	$503.94	$531.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.26 / $597.16 / $885.71	Professional		$433.26	$597.16	$885.71