Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $7,629.00	Facility		$641.00	$2,326.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.71 / $256.94 / $535.77	Professional		$223.71	$256.94	$535.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $268.61 / $268.61	Professional		$258.83	$268.61	$268.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.24 / $293.24 / $293.24	Facility		$293.24	$293.24	$293.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.20 / $354.22 / $738.79	Professional		$248.20	$354.22	$738.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $297.01 / $392.32 / $513.02	Professional		$297.01	$392.32	$513.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,326.00 / $8,017.00	Facility		$657.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $228.73 / $300.87 / $1,544.00	Professional		$228.73	$300.87	$1,544.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $330.20 / $330.20 / $530.40	Professional		$330.20	$330.20	$530.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $293.24 / $293.24 / $293.24	Facility		$293.24	$293.24	$293.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $248.43 / $356.27 / $767.06	Professional		$248.43	$356.27	$767.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $254.11 / $254.11 / $785.49	Facility		$254.11	$254.11	$785.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $246.61 / $254.85 / $555.23	Professional		$246.61	$254.85	$555.23
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.46 / $359.17 / $708.52	Professional		$245.46	$359.17	$708.52