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 $128.46 / $267.47 / $404.85	Professional		$128.46	$267.47	$404.85
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 $297.91 / $309.16 / $309.16	Professional		$297.91	$309.16	$309.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $239.86 / $239.86	Facility		$239.86	$239.86	$239.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.57 / $282.04 / $536.38	Professional		$141.57	$282.04	$536.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $357.90 / $475.75 / $618.17	Professional		$357.90	$475.75	$618.17
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 $131.16 / $297.08 / $868.42	Professional		$131.16	$297.08	$868.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $305.60 / $309.30 / $690.00	Professional		$305.60	$309.30	$690.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $239.86 / $239.86	Facility		$239.86	$239.86	$239.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $143.83 / $282.98 / $541.98	Professional		$143.83	$282.98	$541.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $137.51 / $137.58 / $302.62	Facility		$137.51	$137.58	$302.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $137.46 / $283.05 / $326.19	Professional		$137.46	$283.05	$326.19
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 $296.86 / $397.72 / $595.88	Professional		$296.86	$397.72	$595.88