Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.88 / $2,747.00 / $8,451.00	Facility		$210.88	$2,747.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.59 / $199.06 / $321.35	Professional		$175.59	$199.06	$321.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $206.45 / $214.24 / $214.24	Professional		$206.45	$214.24	$214.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.62 / $235.62 / $235.62	Facility		$235.62	$235.62	$235.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.80 / $257.77 / $416.19	Professional		$196.80	$257.77	$416.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $246.44 / $350.92 / $425.68	Professional		$246.44	$350.92	$425.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,524.00	Facility		$832.00	$4,761.00	$8,524.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $175.59 / $211.32 / $1,229.43	Professional		$175.59	$211.32	$1,229.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.10 / $251.10 / $409.10	Professional		$251.10	$251.10	$409.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $235.62 / $235.62 / $235.62	Facility		$235.62	$235.62	$235.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $196.80 / $258.32 / $416.19	Professional		$196.80	$258.32	$416.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $201.63 / $201.63 / $254.36	Facility		$201.63	$201.63	$254.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $205.66 / $254.36	Professional		$190.55	$205.66	$254.36
United Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $2,391.00 / $6,322.00	Facility		$448.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.35 / $266.69 / $413.27	Professional		$209.35	$266.69	$413.27