Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,747.00 / $8,017.00	Facility		$832.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.57 / $441.03 / $594.41	Professional		$408.57	$441.03	$594.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $433.15 / $449.49 / $788.44	Professional		$433.15	$449.49	$788.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.34 / $457.50 / $789.76	Professional		$347.34	$457.50	$789.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $522.39 / $522.39 / $673.63	Professional		$522.39	$522.39	$673.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,120.00 / $8,017.00	Facility		$934.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $421.67 / $525.99 / $2,696.67	Professional		$421.67	$525.99	$2,696.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $486.60 / $486.60 / $904.75	Professional		$486.60	$486.60	$904.75
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $354.65 / $461.21 / $789.76	Professional		$354.65	$461.21	$789.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $423.24 / $423.24 / $464.15	Facility		$423.24	$423.24	$464.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $414.84 / $423.24 / $464.15	Professional		$414.84	$423.24	$464.15
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 $367.45 / $477.02 / $812.09	Professional		$367.45	$477.02	$812.09