Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.65 / $2,240.00 / $7,629.00	Facility		$180.65	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $142.68 / $214.42	Professional		$94.65	$142.68	$214.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $195.03 / $202.39 / $316.32	Professional		$195.03	$202.39	$316.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $180.76 / $338.24	Professional		$106.93	$180.76	$338.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.31 / $305.11 / $315.37	Professional		$237.31	$305.11	$315.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $8,017.00	Facility		$617.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.73 / $168.43 / $1,181.70	Professional		$95.73	$168.43	$1,181.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $165.50 / $174.80	Professional		$165.50	$165.50	$174.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $191.97 / $191.97 / $191.97	Facility		$191.97	$191.97	$191.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $180.76 / $344.23	Professional		$109.08	$180.76	$344.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $105.86 / $145.79 / $217.89	Facility		$105.86	$145.79	$217.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $182.35 / $199.89	Professional		$105.86	$182.35	$199.89
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.51 / $195.53 / $344.82	Professional		$156.51	$195.53	$344.82