Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.42 / $2,747.00 / $8,113.00	Facility		$265.42	$2,747.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $240.00 / $339.77	Professional		$164.02	$240.00	$339.77
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 $302.23 / $313.63 / $313.63	Professional		$302.23	$313.63	$313.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.83 / $306.83 / $306.83	Facility		$306.83	$306.83	$306.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.72 / $285.12 / $511.56	Professional		$175.72	$285.12	$511.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $364.52 / $491.15 / $629.62	Professional		$364.52	$491.15	$629.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $4,761.00 / $8,427.00	Facility		$657.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $167.03 / $279.54 / $881.04	Professional		$167.03	$279.54	$881.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.40 / $229.40 / $633.50	Professional		$229.40	$229.40	$633.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $306.83 / $306.83 / $306.83	Facility		$306.83	$306.83	$306.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $179.74 / $286.45 / $523.37	Professional		$179.74	$286.45	$523.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $163.22 / $175.12 / $285.45	Facility		$163.22	$175.12	$285.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.75 / $214.54 / $307.31	Professional		$169.75	$214.54	$307.31
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 $218.74 / $326.43 / $544.60	Professional		$218.74	$326.43	$544.60