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 $165.53 / $197.19 / $286.92	Professional		$165.53	$197.19	$286.92
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 $222.76 / $231.17 / $286.47	Professional		$222.76	$231.17	$286.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.20 / $320.20 / $320.20	Facility		$320.20	$320.20	$320.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.87 / $238.98 / $400.80	Professional		$179.87	$238.98	$400.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $266.82 / $356.48 / $460.86	Professional		$266.82	$356.48	$460.86
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 $175.09 / $226.73 / $986.34	Professional		$175.09	$226.73	$986.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $222.86 / $256.50 / $399.70	Professional		$222.86	$256.50	$399.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $320.20 / $320.20 / $320.20	Facility		$320.20	$320.20	$320.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $182.95 / $241.67 / $402.41	Professional		$182.95	$241.67	$402.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $182.98 / $211.37 / $226.26	Facility		$182.98	$211.37	$226.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $210.39 / $229.95	Professional		$181.97	$210.39	$229.95
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 $189.88 / $256.66 / $409.85	Professional		$189.88	$256.66	$409.85