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 $173.28 / $210.30 / $270.64	Professional		$173.28	$210.30	$270.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $241.81 / $250.93 / $406.13	Professional		$241.81	$250.93	$406.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.97 / $340.97 / $340.97	Facility		$340.97	$340.97	$340.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.90 / $241.57 / $424.04	Professional		$163.90	$241.57	$424.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $292.41 / $394.03 / $505.08	Professional		$292.41	$394.03	$505.08
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 $176.10 / $236.32 / $1,023.89	Professional		$176.10	$236.32	$1,023.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.60 / $284.37 / $412.51	Professional		$224.60	$284.37	$412.51
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $340.97 / $340.97 / $340.97	Facility		$340.97	$340.97	$340.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $170.31 / $246.80 / $425.62	Professional		$170.31	$246.80	$425.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $194.01 / $194.68 / $231.32	Facility		$194.01	$194.68	$231.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $193.09 / $212.67 / $249.56	Professional		$193.09	$212.67	$249.56
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 $177.22 / $253.73 / $449.34	Professional		$177.22	$253.73	$449.34