Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,689.00 / $8,017.00	Facility		$768.00	$3,689.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.07 / $464.06 / $624.89	Professional		$430.07	$464.06	$624.89
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 $453.16 / $470.26 / $835.35	Professional		$453.16	$470.26	$835.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $549.00 / $549.00	Facility		$549.00	$549.00	$549.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.38 / $476.79 / $836.15	Professional		$363.38	$476.79	$836.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $547.34 / $547.34 / $705.81	Professional		$547.34	$547.34	$705.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $443.14 / $552.96 / $3,494.00	Professional		$443.14	$552.96	$3,494.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $542.40 / $542.40 / $614.38	Professional		$542.40	$542.40	$614.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $549.00 / $549.00	Facility		$549.00	$549.00	$549.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $365.86 / $486.80 / $804.42	Professional		$365.86	$486.80	$804.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $444.38 / $444.38 / $495.07	Facility		$444.38	$444.38	$495.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $435.80 / $444.38 / $495.07	Professional		$435.80	$444.38	$495.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.84 / $526.63 / $873.68	Professional		$407.84	$526.63	$873.68