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 / $7,629.00	Facility		$379.00	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $184.76 / $259.67	Professional		$160.13	$184.76	$259.67
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 $199.04 / $206.55 / $346.34	Professional		$199.04	$206.55	$346.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.42 / $302.42 / $302.42	Facility		$302.42	$302.42	$302.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.29 / $224.40 / $373.37	Professional		$174.29	$224.40	$373.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $235.91 / $312.10 / $407.47	Professional		$235.91	$312.10	$407.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,326.00 / $8,017.00	Facility		$617.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $202.13 / $936.84	Professional		$162.26	$202.13	$936.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $219.50 / $241.25 / $405.40	Professional		$219.50	$241.25	$405.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $302.42 / $302.42 / $302.42	Facility		$302.42	$302.42	$302.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $174.86 / $228.80 / $376.34	Professional		$174.86	$228.80	$376.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $172.06 / $191.03 / $212.05	Facility		$172.06	$191.03	$212.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $187.61 / $203.77	Professional		$170.94	$187.61	$203.77
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 $179.18 / $232.18 / $362.33	Professional		$179.18	$232.18	$362.33