Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $2,070.00 / $7,197.00	Facility		$264.00	$2,070.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.46 / $188.57 / $289.11	Professional		$170.46	$188.57	$289.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $194.85 / $202.20 / $202.20	Professional		$194.85	$202.20	$202.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.44 / $222.44 / $222.44	Facility		$222.44	$222.44	$222.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $223.69 / $370.46	Professional		$161.38	$223.69	$370.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $233.50 / $315.08 / $403.31	Professional		$233.50	$315.08	$403.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,266.00 / $8,017.00	Facility		$594.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $172.06 / $204.57 / $959.84	Professional		$172.06	$204.57	$959.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $205.50 / $205.50 / $394.90	Professional		$205.50	$205.50	$394.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $222.44 / $222.44 / $222.44	Facility		$222.44	$222.44	$222.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $173.56 / $225.60 / $383.70	Professional		$173.56	$225.60	$383.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $140.74 / $184.87 / $186.45	Facility		$140.74	$184.87	$186.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $180.51 / $184.87 / $199.70	Professional		$180.51	$184.87	$199.70
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $216.49 / $364.41	Professional		$163.19	$216.49	$364.41