Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.47 / $1,340.00 / $6,012.00	Facility		$182.47	$1,340.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $168.80 / $250.04	Professional		$47.52	$168.80	$250.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $197.23 / $204.68 / $338.46	Professional		$197.23	$204.68	$338.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.73 / $87.73 / $87.73	Facility		$87.73	$87.73	$87.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $148.85 / $314.27	Professional		$50.83	$148.85	$314.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $240.05 / $321.17 / $414.64	Professional		$240.05	$321.17	$414.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $1,819.00 / $7,799.00	Facility		$428.00	$1,819.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $171.20 / $483.26	Professional		$50.05	$171.20	$483.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $272.80 / $362.30 / $476.50	Professional		$272.80	$362.30	$476.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $87.73 / $87.73 / $87.73	Facility		$87.73	$87.73	$87.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $158.36 / $319.57	Professional		$51.48	$158.36	$319.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.81 / $118.89 / $859.01	Facility		$49.81	$118.89	$859.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $203.43 / $224.63	Professional		$49.81	$203.43	$224.63
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 $165.43 / $234.50 / $392.41	Professional		$165.43	$234.50	$392.41