Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.56 / $2,747.00 / $8,113.00	Facility		$258.56	$2,747.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $250.31 / $331.57	Professional		$152.27	$250.31	$331.57
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 $296.74 / $307.93 / $307.93	Professional		$296.74	$307.93	$307.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.76 / $284.76 / $284.76	Facility		$284.76	$284.76	$284.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $275.64 / $501.83	Professional		$160.94	$275.64	$501.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $358.89 / $483.11 / $619.89	Professional		$358.89	$483.11	$619.89
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 $159.96 / $263.60 / $870.45	Professional		$159.96	$263.60	$870.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $222.40 / $660.80	Professional		$222.40	$222.40	$660.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $284.76 / $284.76 / $284.76	Facility		$284.76	$284.76	$284.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $282.00 / $514.99	Professional		$162.00	$282.00	$514.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $149.24 / $162.19 / $279.17	Facility		$149.24	$162.19	$279.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $197.39 / $301.20	Professional		$157.43	$197.39	$301.20
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 $231.92 / $326.35 / $547.96	Professional		$231.92	$326.35	$547.96