Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $3,839.00 / $8,247.00	Facility		$155.88	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $155.68 / $181.82	Professional		$131.83	$155.68	$181.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $134.53 / $222.36	Professional		$129.63	$134.53	$222.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.86 / $193.45 / $300.58	Professional		$129.86	$193.45	$300.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $196.27 / $196.27 / $208.52	Professional		$196.27	$196.27	$208.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $4,761.00 / $8,247.00	Facility		$657.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $161.10 / $712.89	Professional		$131.83	$161.10	$712.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $230.70 / $319.50 / $433.50	Professional		$230.70	$319.50	$433.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $144.80 / $193.45 / $327.08	Professional		$144.80	$193.45	$327.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $126.94 / $126.94 / $250.81	Facility		$126.94	$126.94	$250.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.04 / $129.47 / $250.81	Professional		$121.04	$129.47	$250.81
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.07 / $189.60 / $288.31	Professional		$133.07	$189.60	$288.31