Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.69 / $2,679.00 / $8,017.00	Facility		$229.69	$2,679.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.16 / $177.35 / $259.41	Professional		$126.16	$177.35	$259.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $204.68 / $212.40 / $212.40	Professional		$204.68	$212.40	$212.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $214.63 / $367.74	Professional		$136.69	$214.63	$367.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.89 / $326.10 / $331.75	Professional		$245.89	$326.10	$331.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $2,679.00 / $8,017.00	Facility		$760.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $126.16 / $203.70 / $1,056.00	Professional		$126.16	$203.70	$1,056.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $225.10 / $560.50	Professional		$6.00	$225.10	$560.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $220.70 / $382.45	Professional		$141.19	$220.70	$382.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $110.24 / $130.78 / $205.08	Facility		$110.24	$130.78	$205.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.93 / $193.37 / $219.42	Professional		$126.93	$193.37	$219.42
United Facility/Professional Facility Modifier Low / Median / High Price $267.80 / $557.00 / $3,000.00	Facility		$267.80	$557.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.68 / $252.27 / $419.17	Professional		$178.68	$252.27	$419.17