Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.34 / $2,240.00 / $7,629.00	Facility		$147.34	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.54 / $140.13 / $195.49	Professional		$131.54	$140.13	$195.49
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 $159.40 / $165.42 / $298.93	Professional		$159.40	$165.42	$298.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $172.65 / $304.42	Professional		$137.34	$172.65	$304.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $192.48 / $247.47 / $258.13	Professional		$192.48	$247.47	$258.13
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 $132.13 / $148.49 / $1,023.00	Professional		$132.13	$148.49	$1,023.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.40 / $169.40 / $169.40	Professional		$169.40	$169.40	$169.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $256.52 / $256.52 / $256.52	Facility		$256.52	$256.52	$256.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $172.93 / $323.79	Professional		$141.38	$172.93	$323.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $146.31 / $155.47 / $172.46	Facility		$146.31	$155.47	$172.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $146.31 / $155.47 / $163.35	Professional		$146.31	$155.47	$163.35
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $4,300.00	Facility		$144.00	$650.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.33 / $179.95 / $309.75	Professional		$147.33	$179.95	$309.75