Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $2,070.00 / $7,197.00	Facility		$379.00	$2,070.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $217.93 / $327.58	Professional		$149.40	$217.93	$327.58
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 $291.74 / $302.75 / $487.30	Professional		$291.74	$302.75	$487.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.08 / $284.08 / $284.08	Facility		$284.08	$284.08	$284.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.54 / $267.62 / $481.84	Professional		$161.54	$267.62	$481.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $353.56 / $610.70	Professional		$12.00	$353.56	$610.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,266.00 / $8,017.00	Facility		$617.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $266.74 / $876.73	Professional		$150.51	$266.74	$876.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $265.80 / $279.20 / $645.40	Professional		$265.80	$279.20	$645.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $284.08 / $284.08 / $284.08	Facility		$284.08	$284.08	$284.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $162.27 / $272.61 / $497.64	Professional		$162.27	$272.61	$497.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $163.01 / $194.30 / $291.37	Facility		$163.01	$194.30	$291.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $163.01 / $286.43 / $315.26	Professional		$163.01	$286.43	$315.26
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,219.00 / $3,742.00	Facility		$435.00	$1,219.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.63 / $327.72 / $518.67	Professional		$232.63	$327.72	$518.67