Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,070.00 / $7,197.00	Facility		$428.00	$2,070.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $271.16 / $380.09	Professional		$141.53	$271.16	$380.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,772.00 / $2,838.15 / $8,459.92	Facility		$1,772.00	$2,838.15	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $313.92 / $325.76 / $325.76	Professional		$313.92	$325.76	$325.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.44 / $271.44 / $271.44	Facility		$271.44	$271.44	$271.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.80 / $305.16 / $568.63	Professional		$158.80	$305.16	$568.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $376.55 / $501.39 / $650.41	Professional		$376.55	$501.39	$650.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,266.00 / $8,017.00	Facility		$641.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $312.13 / $1,023.00	Professional		$145.22	$312.13	$1,023.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $248.20 / $248.20 / $725.80	Professional		$248.20	$248.20	$725.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $271.44 / $271.44 / $271.44	Facility		$271.44	$271.44	$271.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $164.57 / $309.11 / $569.62	Professional		$164.57	$309.11	$569.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $154.32 / $315.25	Facility		$133.72	$154.32	$315.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $233.63 / $339.24	Professional		$150.22	$233.63	$339.24
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,219.00 / $3,742.00	Facility		$435.00	$1,219.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.83 / $432.98 / $652.88	Professional		$319.83	$432.98	$652.88