Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.85 / $2,747.00 / $8,104.00	Facility		$117.85	$2,747.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.08 / $173.71 / $229.25	Professional		$107.08	$173.71	$229.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $191.40 / $198.63 / $295.98	Professional		$191.40	$198.63	$295.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.03 / $206.96 / $346.34	Professional		$127.03	$206.96	$346.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $232.82 / $308.74 / $317.72	Professional		$232.82	$308.74	$317.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,964.00 / $8,247.00	Facility		$540.00	$3,964.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $180.86 / $630.16	Professional		$109.73	$180.86	$630.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $160.80 / $515.50	Professional		$5.00	$160.80	$515.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $131.02 / $213.18 / $365.24	Professional		$131.02	$213.18	$365.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $109.66 / $145.43 / $223.66	Facility		$109.66	$145.43	$223.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.21 / $178.08 / $195.20	Professional		$109.21	$178.08	$195.20
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $4,789.00	Facility		$912.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.54 / $251.54 / $396.63	Professional		$172.54	$251.54	$396.63