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 $137.57 / $205.51 / $298.89	Professional		$137.57	$205.51	$298.89
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 $233.58 / $242.40 / $242.40	Professional		$233.58	$242.40	$242.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.33 / $265.33 / $265.33	Facility		$265.33	$265.33	$265.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.66 / $249.21 / $434.83	Professional		$153.66	$249.21	$434.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $276.75 / $367.31 / $478.02	Professional		$276.75	$367.31	$478.02
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 $145.04 / $235.29 / $1,023.00	Professional		$145.04	$235.29	$1,023.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.50 / $262.60 / $521.20	Professional		$251.50	$262.60	$521.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $265.33 / $265.33 / $265.33	Facility		$265.33	$265.33	$265.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $253.41 / $441.31	Professional		$157.59	$253.41	$441.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $133.71 / $154.72 / $258.85	Facility		$133.71	$154.72	$258.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $229.10 / $249.09	Professional		$150.72	$229.10	$249.09
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 $236.21 / $314.95 / $483.59	Professional		$236.21	$314.95	$483.59