Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.08 / $2,747.00 / $8,017.00	Facility		$190.08	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $175.69 / $270.88	Professional		$117.76	$175.69	$270.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $199.76 / $207.30 / $207.30	Professional		$199.76	$207.30	$207.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $196.78 / $344.25	Professional		$128.38	$196.78	$344.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.81 / $308.33 / $318.22	Professional		$239.81	$308.33	$318.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $3,077.00 / $8,017.00	Facility		$918.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $190.08 / $1,309.39	Professional		$119.10	$190.08	$1,309.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.10 / $195.10 / $205.40	Professional		$195.10	$195.10	$205.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $227.39 / $227.39 / $227.39	Facility		$227.39	$227.39	$227.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $129.30 / $197.88 / $377.50	Professional		$129.30	$197.88	$377.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $131.88 / $143.94 / $211.57	Facility		$131.88	$143.94	$211.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $195.27 / $213.12	Professional		$131.88	$195.27	$213.12
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 $173.47 / $221.96 / $410.43	Professional		$173.47	$221.96	$410.43