Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.49 / $2,747.00 / $8,451.00	Facility		$209.49	$2,747.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.39 / $206.64 / $319.31	Professional		$175.39	$206.64	$319.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $205.13 / $212.87 / $394.33	Professional		$205.13	$212.87	$394.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.11 / $234.11 / $234.11	Facility		$234.11	$234.11	$234.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.67 / $261.25 / $431.37	Professional		$197.67	$261.25	$431.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $244.86 / $348.61 / $422.94	Professional		$244.86	$348.61	$422.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $5,342.00 / $8,524.00	Facility		$832.00	$5,342.00	$8,524.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $175.39 / $228.02 / $1,426.00	Professional		$175.39	$228.02	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $254.80 / $254.80 / $412.90	Professional		$254.80	$254.80	$412.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $234.11 / $234.11 / $234.11	Facility		$234.11	$234.11	$234.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $197.67 / $261.57 / $445.37	Professional		$197.67	$261.57	$445.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $200.64 / $200.64 / $247.54	Facility		$200.64	$200.64	$247.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $189.57 / $204.65 / $247.54	Professional		$189.57	$204.65	$247.54
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $4,430.00	Facility		$162.00	$650.00	$4,430.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $258.67 / $379.57	Professional		$194.49	$258.67	$379.57