Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.51 / $3,839.00 / $8,113.00	Facility		$179.51	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.40 / $168.64 / $219.29	Professional		$151.40	$168.64	$219.29
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 $168.85 / $240.61 / $380.02	Professional		$168.85	$240.61	$380.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.58 / $880.00 / $7,857.00	Facility		$192.58	$880.00	$7,857.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.22 / $215.05 / $358.14	Professional		$157.22	$215.05	$358.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $377.12 / $377.12 / $377.12	Facility		$377.12	$377.12	$377.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $203.46 / $257.74 / $336.63	Professional		$203.46	$257.74	$336.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $4,761.00 / $8,247.00	Facility		$760.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $154.49 / $191.58 / $869.81	Professional		$154.49	$191.58	$869.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $291.00 / $337.80 / $419.00	Professional		$291.00	$337.80	$419.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $192.58 / $880.00 / $7,857.00	Facility		$192.58	$880.00	$7,857.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $160.78 / $214.67 / $358.14	Professional		$160.78	$214.67	$358.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $140.22 / $165.04 / $177.10	Facility		$140.22	$165.04	$177.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $168.34 / $172.89	Professional		$150.44	$168.34	$172.89
United Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $541.00 / $3,742.00	Facility		$80.00	$541.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $197.57 / $329.11	Professional		$152.88	$197.57	$329.11