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 $168.24 / $187.22 / $289.54	Professional		$168.24	$187.22	$289.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $194.01 / $201.33 / $201.33	Professional		$194.01	$201.33	$201.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.10 / $221.10 / $221.10	Facility		$221.10	$221.10	$221.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.42 / $239.13 / $389.70	Professional		$187.42	$239.13	$389.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $226.62 / $308.50 / $391.44	Professional		$226.62	$308.50	$391.44
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 $168.24 / $221.59 / $1,749.00	Professional		$168.24	$221.59	$1,749.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $237.70 / $237.70 / $390.90	Professional		$237.70	$237.70	$390.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $221.10 / $221.10 / $221.10	Facility		$221.10	$221.10	$221.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $183.03 / $247.09 / $391.25	Professional		$183.03	$247.09	$391.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $190.10 / $190.10 / $208.53	Facility		$190.10	$190.10	$208.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $182.93 / $192.42 / $208.53	Professional		$182.93	$192.42	$208.53
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 $185.61 / $247.83 / $368.21	Professional		$185.61	$247.83	$368.21