Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.08 / $2,240.00 / $7,629.00	Facility		$135.08	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.71 / $111.28 / $157.85	Professional		$86.71	$111.28	$157.85
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 $109.17 / $154.90 / $226.00	Professional		$109.17	$154.90	$226.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $149.83 / $239.70	Professional		$104.16	$149.83	$239.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $192.13 / $194.16	Professional		$145.22	$192.13	$194.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $8,017.00	Facility		$617.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.24 / $123.64 / $641.00	Professional		$89.24	$123.64	$641.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.10 / $166.60 / $317.30	Professional		$139.10	$166.60	$317.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $151.77 / $249.36	Professional		$105.62	$151.77	$249.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $94.66 / $117.69 / $146.56	Facility		$94.66	$117.69	$146.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $117.97 / $127.67	Professional		$94.66	$117.97	$127.67
United Facility/Professional Facility Modifier Low / Median / High Price $335.48 / $635.52 / $3,000.00	Facility		$335.48	$635.52	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $155.28 / $249.57	Professional		$122.36	$155.28	$249.57