Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,745.00 / $8,017.00	Facility		$768.00	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $146.78 / $214.06	Professional		$130.28	$146.78	$214.06
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 $119.22 / $183.94 / $372.29	Professional		$119.22	$183.94	$372.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.09 / $184.02 / $267.88	Professional		$118.09	$184.02	$267.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.45 / $181.45 / $181.54	Professional		$181.45	$181.45	$181.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,964.00 / $8,017.00	Facility		$954.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $129.22 / $167.47 / $1,544.00	Professional		$129.22	$167.47	$1,544.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $266.10 / $360.00	Professional		$6.00	$266.10	$360.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $186.21 / $277.77	Professional		$130.28	$186.21	$277.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $190.46	Facility		$117.49	$117.49	$190.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $113.57 / $118.44 / $190.46	Professional		$113.57	$118.44	$190.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,029.00 / $7,000.00 / $17,398.83	Facility		$3,029.00	$7,000.00	$17,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $169.87 / $251.85	Professional		$117.60	$169.87	$251.85