Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.09 / $2,747.00 / $8,451.00	Facility		$193.09	$2,747.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $181.38 / $283.98	Professional		$163.31	$181.38	$283.98
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 $190.04 / $197.21 / $197.21	Professional		$190.04	$197.21	$197.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $217.92 / $217.92	Facility		$217.92	$217.92	$217.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.50 / $242.03 / $385.99	Professional		$184.50	$242.03	$385.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $224.48 / $313.42 / $387.73	Professional		$224.48	$313.42	$387.73
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 $163.49 / $196.64 / $1,137.41	Professional		$163.49	$196.64	$1,137.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $259.20 / $259.20 / $379.70	Professional		$259.20	$259.20	$379.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $217.92 / $217.92	Facility		$217.92	$217.92	$217.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $183.56 / $243.66 / $401.35	Professional		$183.56	$243.66	$401.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $184.40 / $184.40 / $253.75	Facility		$184.40	$184.40	$253.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $175.87 / $188.09 / $253.75	Professional		$175.87	$188.09	$253.75
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 $187.43 / $251.54 / $384.98	Professional		$187.43	$251.54	$384.98