Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,070.00 / $7,629.00	Facility		$428.00	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.63 / $285.58 / $406.84	Professional		$243.63	$285.58	$406.84
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 $316.37 / $328.31 / $536.25	Professional		$316.37	$328.31	$536.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.46 / $466.46 / $466.46	Facility		$466.46	$466.46	$466.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.11 / $328.96 / $567.89	Professional		$223.11	$328.96	$567.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $381.22 / $513.55 / $658.46	Professional		$381.22	$513.55	$658.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $8,017.00	Facility		$641.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $251.67 / $314.64 / $1,408.74	Professional		$251.67	$314.64	$1,408.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $258.50 / $326.32 / $637.70	Professional		$258.50	$326.32	$637.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $466.46 / $466.46 / $466.46	Facility		$466.46	$466.46	$466.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $236.17 / $340.82 / $573.42	Professional		$236.17	$340.82	$573.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $264.74 / $267.52 / $304.83	Facility		$264.74	$267.52	$304.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $264.74 / $292.75 / $328.08	Professional		$264.74	$292.75	$328.08
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 $238.98 / $344.46 / $577.22	Professional		$238.98	$344.46	$577.22