Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,066.00 / $7,763.00	Facility		$540.00	$3,066.00	$7,763.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $293.20 / $468.12	Professional		$166.64	$293.20	$468.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $320.13 / $332.21 / $615.54	Professional		$320.13	$332.21	$615.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.52 / $310.52 / $310.52	Facility		$310.52	$310.52	$310.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.32 / $319.39 / $585.53	Professional		$187.32	$319.39	$585.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $384.14 / $510.08 / $663.52	Professional		$384.14	$510.08	$663.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $315.06 / $971.75	Professional		$166.64	$315.06	$971.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.97 / $525.90 / $774.60	Professional		$446.97	$525.90	$774.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $310.52 / $310.52 / $310.52	Facility		$310.52	$310.52	$310.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $187.36 / $329.61 / $592.15	Professional		$187.36	$329.61	$592.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $176.08 / $176.08 / $315.19	Facility		$176.08	$176.08	$315.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $175.21 / $310.89 / $339.29	Professional		$175.21	$310.89	$339.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.31 / $407.29 / $661.51	Professional		$322.31	$407.29	$661.51