Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.75 / $3,077.00 / $7,799.00	Facility		$332.75	$3,077.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $235.25 / $376.37	Professional		$143.65	$235.25	$376.37
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 $294.98 / $306.11 / $306.11	Professional		$294.98	$306.11	$306.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.42 / $290.39 / $508.44	Professional		$168.42	$290.39	$508.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $357.64 / $474.58 / $485.00	Professional		$357.64	$474.58	$485.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $3,077.00 / $8,017.00	Facility		$760.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $146.03 / $266.82 / $767.37	Professional		$146.03	$266.82	$767.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $289.30 / $820.40	Professional		$6.00	$289.30	$820.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $171.40 / $294.01 / $532.74	Professional		$171.40	$294.01	$532.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $145.58 / $191.44 / $297.33	Facility		$145.58	$191.44	$297.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $292.24 / $320.20	Professional		$145.58	$292.24	$320.20
United Facility/Professional Facility Modifier Low / Median / High Price $859.00 / $2,391.00 / $4,300.00	Facility		$859.00	$2,391.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.64 / $341.10 / $617.58	Professional		$227.64	$341.10	$617.58