Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $7,629.00	Facility		$641.00	$2,326.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.27 / $360.06 / $560.52	Professional		$312.27	$360.06	$560.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $360.09 / $373.68 / $373.68	Professional		$360.09	$373.68	$373.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.86 / $409.86 / $409.86	Facility		$409.86	$409.86	$409.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.44 / $458.62 / $724.86	Professional		$347.44	$458.62	$724.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $420.66 / $572.62 / $726.60	Professional		$420.66	$572.62	$726.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,326.00 / $8,017.00	Facility		$657.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $322.33 / $415.83 / $1,899.02	Professional		$322.33	$415.83	$1,899.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $473.00 / $473.00 / $751.50	Professional		$473.00	$473.00	$751.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $409.86 / $409.86 / $409.86	Facility		$409.86	$409.86	$409.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $347.44 / $464.59 / $726.18	Professional		$347.44	$464.59	$726.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $352.92 / $352.92 / $374.12	Facility		$352.92	$352.92	$374.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $339.51 / $357.32 / $374.12	Professional		$339.51	$357.32	$374.12
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $557.00 / $3,742.00	Facility		$226.00	$557.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.89 / $469.65 / $718.01	Professional		$366.89	$469.65	$718.01