Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $7,629.00	Facility		$641.00	$2,326.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $195.50 / $279.77	Professional		$173.28	$195.50	$279.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $197.03 / $204.47 / $333.43	Professional		$197.03	$204.47	$333.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.06 / $225.06 / $225.06	Facility		$225.06	$225.06	$225.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.18 / $231.40 / $392.26	Professional		$163.18	$231.40	$392.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $235.65 / $315.45 / $407.04	Professional		$235.65	$315.45	$407.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,326.00 / $8,017.00	Facility		$657.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $210.12 / $1,426.00	Professional		$173.28	$210.12	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.90 / $208.90 / $420.10	Professional		$208.90	$208.90	$420.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $225.06 / $225.06 / $225.06	Facility		$225.06	$225.06	$225.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $172.15 / $231.48 / $392.26	Professional		$172.15	$231.48	$392.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $191.24 / $191.24 / $210.50	Facility		$191.24	$191.24	$210.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $187.47 / $191.24 / $210.50	Professional		$187.47	$191.24	$210.50
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $224.17 / $355.62	Professional		$166.75	$224.17	$355.62