Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $7,799.00	Facility		$882.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $164.10 / $249.53	Professional		$148.72	$164.10	$249.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,463.00 / $11,091.00	Facility		$4,150.00	$7,463.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $171.42 / $177.89 / $177.89	Professional		$171.42	$177.89	$177.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.23 / $195.23 / $195.23	Facility		$195.23	$195.23	$195.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $217.61 / $343.96	Professional		$165.50	$217.61	$343.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $200.23 / $272.57 / $345.86	Professional		$200.23	$272.57	$345.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $149.82 / $184.70 / $1,544.00	Professional		$149.82	$184.70	$1,544.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.30 / $223.30 / $358.60	Professional		$223.30	$223.30	$358.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $195.23 / $195.23 / $195.23	Facility		$195.23	$195.23	$195.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $218.32 / $345.75	Professional		$165.50	$218.32	$345.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $167.79 / $167.79 / $179.23	Facility		$167.79	$167.79	$179.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $161.46 / $169.83 / $179.23	Professional		$161.46	$169.83	$179.23
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.08 / $222.54 / $331.98	Professional		$165.08	$222.54	$331.98