Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $4,761.00 / $8,451.00	Facility		$921.00	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.96 / $503.80 / $680.78	Professional		$473.96	$503.80	$680.78
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 $494.39 / $513.04 / $914.72	Professional		$494.39	$513.04	$914.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.00 / $771.00 / $771.00	Facility		$771.00	$771.00	$771.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.45 / $524.76 / $900.00	Professional		$396.45	$524.76	$900.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $593.02 / $593.02 / $764.71	Professional		$593.02	$593.02	$764.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $5,342.00 / $9,617.00	Facility		$1,054.00	$5,342.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $473.96 / $602.14 / $3,088.35	Professional		$473.96	$602.14	$3,088.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $631.60 / $631.60 / $631.60	Professional		$631.60	$631.60	$631.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $771.00 / $771.00 / $771.00	Facility		$771.00	$771.00	$771.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $407.28 / $524.76 / $905.05	Professional		$407.28	$524.76	$905.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $484.43 / $484.43 / $607.67	Facility		$484.43	$484.43	$607.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $474.32 / $494.12 / $607.67	Professional		$474.32	$494.12	$607.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,368.00	Facility		$1,440.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.45 / $575.01 / $951.12	Professional		$432.45	$575.01	$951.12