Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.63 / $2,679.00 / $8,017.00	Facility		$320.63	$2,679.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.84 / $277.35 / $508.36	Professional		$215.84	$277.35	$508.36
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 $318.95 / $330.99 / $552.12	Professional		$318.95	$330.99	$552.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $414.29 / $414.29 / $414.29	Facility		$414.29	$414.29	$414.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.39 / $334.05 / $567.98	Professional		$240.39	$334.05	$567.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $377.81 / $512.52 / $652.57	Professional		$377.81	$512.52	$652.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,679.00 / $8,017.00	Facility		$832.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $222.96 / $305.08 / $1,156.24	Professional		$222.96	$305.08	$1,156.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.20 / $363.20 / $634.70	Professional		$363.20	$363.20	$634.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $414.29 / $414.29 / $414.29	Facility		$414.29	$414.29	$414.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $240.70 / $339.68 / $575.17	Professional		$240.70	$339.68	$575.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $237.17 / $308.62 / $315.36	Facility		$237.17	$308.62	$315.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $232.34 / $298.92 / $327.45	Professional		$232.34	$298.92	$327.45
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 $272.00 / $368.32 / $574.95	Professional		$272.00	$368.32	$574.95