Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.29 / $2,070.00 / $7,629.00	Facility		$349.29	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.35 / $265.25 / $366.96	Professional		$183.35	$265.25	$366.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $327.84 / $340.21 / $536.66	Professional		$327.84	$340.21	$536.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.50 / $320.13 / $602.07	Professional		$198.50	$320.13	$602.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $403.05 / $537.13 / $540.95	Professional		$403.05	$537.13	$540.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,326.00 / $8,017.00	Facility		$594.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $186.61 / $305.05 / $1,074.93	Professional		$186.61	$305.05	$1,074.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $228.60 / $923.80	Professional		$5.00	$228.60	$923.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $201.95 / $324.75 / $602.07	Professional		$201.95	$324.75	$602.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $169.50 / $203.37 / $327.63	Facility		$169.50	$203.37	$327.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $246.75 / $353.95	Professional		$197.30	$246.75	$353.95
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.14 / $372.27 / $639.12	Professional		$275.14	$372.27	$639.12