Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,679.00 / $8,017.00	Facility		$540.00	$2,679.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.96 / $180.38 / $249.94	Professional		$146.96	$180.38	$249.94
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 $216.37 / $224.53 / $361.09	Professional		$216.37	$224.53	$361.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.14 / $286.14 / $286.14	Facility		$286.14	$286.14	$286.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.53 / $213.55 / $364.55	Professional		$154.53	$213.55	$364.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $261.69 / $351.46 / $452.01	Professional		$261.69	$351.46	$452.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $2,679.00 / $8,017.00	Facility		$934.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $146.96 / $202.84 / $1,077.89	Professional		$146.96	$202.84	$1,077.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $187.20 / $445.10	Professional		$187.20	$187.20	$445.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $286.14 / $286.14 / $286.14	Facility		$286.14	$286.14	$286.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $158.27 / $216.88 / $375.51	Professional		$158.27	$216.88	$375.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $132.86 / $162.83 / $207.73	Facility		$132.86	$162.83	$207.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $159.52 / $174.89 / $224.31	Professional		$159.52	$174.89	$224.31
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.59 / $230.80 / $392.40	Professional		$166.59	$230.80	$392.40