Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.99 / $2,747.00 / $8,104.00	Facility		$286.99	$2,747.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $203.38 / $308.10	Professional		$106.72	$203.38	$308.10
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 $225.90 / $234.42 / $368.19	Professional		$225.90	$234.42	$368.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.37 / $199.16 / $396.71	Professional		$113.37	$199.16	$396.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $368.50 / $368.50 / $369.26	Professional		$368.50	$368.50	$369.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $3,389.00 / $8,427.00	Facility		$918.00	$3,389.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $231.05 / $1,426.00	Professional		$116.36	$231.05	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $263.20 / $622.40	Professional		$6.00	$263.20	$622.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $118.29 / $198.84 / $396.71	Professional		$118.29	$198.84	$396.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.48 / $123.45 / $224.78	Facility		$107.48	$123.45	$224.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $123.45 / $229.28	Professional		$107.48	$123.45	$229.28
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,305.00 / $3,742.00	Facility		$435.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.29 / $271.05 / $487.13	Professional		$181.29	$271.05	$487.13