Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.49 / $3,623.00 / $7,799.00	Facility		$258.49	$3,623.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.51 / $182.44 / $316.02	Professional		$123.51	$182.44	$316.02
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 $231.02 / $354.90 / $518.75	Professional		$231.02	$354.90	$518.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.30 / $257.35 / $499.25	Professional		$147.30	$257.35	$499.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $318.63 / $423.45 / $430.06	Professional		$318.63	$423.45	$430.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,839.00 / $8,017.00	Facility		$832.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $123.51 / $240.47 / $1,119.00	Professional		$123.51	$240.47	$1,119.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.57 / $315.30 / $741.10	Professional		$216.57	$315.30	$741.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $259.60 / $517.24	Professional		$147.63	$259.60	$517.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $116.79 / $138.63 / $331.90	Facility		$116.79	$138.63	$331.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.25 / $260.45 / $285.88	Professional		$134.25	$260.45	$285.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,000.00	Facility		$2,155.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.15 / $317.81 / $557.86	Professional		$197.15	$317.81	$557.86