Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,262.25 / $2,000.00	Facility		$425.00	$1,262.25	$2,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.66 / $413.78 / $550.00	Professional		$350.66	$413.78	$550.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $434.00 / $2,290.00 / $13,939.00	Facility		$434.00	$2,290.00	$13,939.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $319.30 / $331.35 / $715.39	Professional		$319.30	$331.35	$715.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.70 / $751.45 / $1,341.37	Facility		$393.70	$751.45	$1,341.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.23 / $557.22 / $946.16	Professional		$301.23	$557.22	$946.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $386.99 / $514.34 / $1,345.96	Professional		$386.99	$514.34	$1,345.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $454.85 / $1,421.00 / $2,080.00	Facility		$454.85	$1,421.00	$2,080.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $354.37 / $425.00 / $1,459.50	Professional		$354.37	$425.00	$1,459.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $378.62 / $672.80	Professional		$105.62	$378.62	$672.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $353.48 / $697.72 / $1,341.37	Facility		$353.48	$697.72	$1,341.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $304.42 / $550.66 / $940.98	Professional		$304.42	$550.66	$940.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $343.05 / $343.05 / $536.52	Facility		$343.05	$343.05	$536.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $337.49 / $343.05 / $536.52	Professional		$337.49	$343.05	$536.52
United Facility/Professional Facility Modifier Low / Median / High Price $555.57 / $555.57 / $555.57	Facility		$555.57	$555.57	$555.57
United Facility/Professional Professional Modifier Low / Median / High Price $330.95 / $456.48 / $751.05	Professional		$330.95	$456.48	$751.05