Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,371.00 / $7,799.00	Facility		$490.00	$2,371.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.55 / $155.69 / $218.36	Professional		$142.55	$155.69	$218.36
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 $156.08 / $161.97 / $238.25	Professional		$156.08	$161.97	$238.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.61 / $206.78 / $361.46	Professional		$150.61	$206.78	$361.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $184.23 / $244.55 / $244.55	Professional		$184.23	$244.55	$244.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,326.00 / $8,017.00	Facility		$540.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $143.25 / $163.19 / $902.73	Professional		$143.25	$163.19	$902.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $222.10 / $388.40	Professional		$8.00	$222.10	$388.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $209.21 / $371.22	Professional		$156.94	$209.21	$371.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $152.18 / $152.18 / $175.93	Facility		$152.18	$152.18	$175.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $152.88 / $175.93	Professional		$147.60	$152.88	$175.93
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.71 / $190.68 / $308.49	Professional		$135.71	$190.68	$308.49