Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.79 / $3,964.00 / $8,240.00	Facility		$684.79	$3,964.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.23 / $583.30 / $812.09	Professional		$438.23	$583.30	$812.09
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 $600.21 / $622.86 / $1,077.65	Professional		$600.21	$622.86	$1,077.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.48 / $574.16 / $898.75	Professional		$385.48	$574.16	$898.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $736.23 / $736.23 / $949.38	Professional		$736.23	$736.23	$949.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $4,761.00 / $8,247.00	Facility		$976.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $442.65 / $613.64 / $2,843.00	Professional		$442.65	$613.64	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $518.40 / $518.40 / $518.40	Professional		$518.40	$518.40	$518.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $404.44 / $582.22 / $898.75	Professional		$404.44	$582.22	$898.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $385.18 / $440.18 / $598.58	Facility		$385.18	$440.18	$598.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $431.64 / $467.32 / $641.67	Professional		$431.64	$467.32	$641.67
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 $487.39 / $681.11 / $1,175.53	Professional		$487.39	$681.11	$1,175.53