Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.59 / $3,839.00 / $8,247.00	Facility		$190.59	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $182.49 / $222.20	Professional		$162.63	$182.49	$222.20
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 $157.69 / $163.63 / $304.50	Professional		$157.69	$163.63	$304.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.18 / $213.71 / $327.54	Professional		$160.18	$213.71	$327.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $236.06 / $236.06 / $252.81	Professional		$236.06	$236.06	$252.81
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 $162.63 / $193.91 / $845.95	Professional		$162.63	$193.91	$845.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.96 / $223.14 / $320.48	Professional		$152.96	$223.14	$320.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $171.08 / $220.62 / $351.06	Professional		$171.08	$220.62	$351.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $154.50 / $154.50 / $213.99	Facility		$154.50	$154.50	$213.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $157.59 / $213.99	Professional		$146.72	$157.59	$213.99
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $632.00 / $3,742.00	Facility		$144.00	$632.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $215.70 / $333.27	Professional		$160.31	$215.70	$333.27