Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,240.00 / $7,629.00	Facility		$428.00	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.30 / $270.45 / $382.42	Professional		$237.30	$270.45	$382.42
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 $259.19 / $268.97 / $268.97	Professional		$259.19	$268.97	$268.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.33 / $394.33 / $394.33	Facility		$394.33	$394.33	$394.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.14 / $320.45 / $538.74	Professional		$242.14	$320.45	$538.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $305.42 / $403.83 / $527.54	Professional		$305.42	$403.83	$527.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $8,017.00	Facility		$641.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $241.29 / $300.55 / $1,373.48	Professional		$241.29	$300.55	$1,373.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $372.60 / $372.60 / $606.50	Professional		$372.60	$372.60	$606.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $394.33 / $394.33 / $394.33	Facility		$394.33	$394.33	$394.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $242.25 / $325.26 / $541.80	Professional		$242.25	$325.26	$541.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $257.42 / $288.08 / $317.20	Facility		$257.42	$288.08	$317.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $256.32 / $282.37 / $307.57	Professional		$256.32	$282.37	$307.57
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 $264.08 / $344.81 / $567.30	Professional		$264.08	$344.81	$567.30