Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.92 / $2,747.00 / $8,113.00	Facility		$263.92	$2,747.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.62 / $232.99 / $367.59	Professional		$157.62	$232.99	$367.59
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 $303.02 / $314.45 / $314.45	Professional		$303.02	$314.45	$314.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.49 / $295.49 / $295.49	Facility		$295.49	$295.49	$295.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.56 / $257.61 / $498.90	Professional		$161.56	$257.61	$498.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $366.39 / $493.75 / $632.85	Professional		$366.39	$493.75	$632.85
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 $160.51 / $269.06 / $901.68	Professional		$160.51	$269.06	$901.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $188.40 / $188.40 / $602.50	Professional		$188.40	$188.40	$602.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $295.49 / $295.49 / $295.49	Facility		$295.49	$295.49	$295.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $165.03 / $265.39 / $508.14	Professional		$165.03	$265.39	$508.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $144.06 / $167.46 / $284.45	Facility		$144.06	$167.46	$284.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.56 / $181.68 / $306.72	Professional		$162.56	$181.68	$306.72
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 $217.81 / $315.49 / $556.16	Professional		$217.81	$315.49	$556.16