Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.77 / $2,240.00 / $7,629.00	Facility		$190.77	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $125.21 / $212.01	Professional		$77.04	$125.21	$212.01
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $163.28 / $169.44 / $271.26	Professional		$163.28	$169.44	$271.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.38 / $157.49 / $281.69	Professional		$92.38	$157.49	$281.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $143.38 / $259.95	Professional		$24.00	$143.38	$259.95
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 $83.90 / $137.80 / $504.72	Professional		$83.90	$137.80	$504.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $276.70 / $459.10	Professional		$3.00	$276.70	$459.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $94.94 / $157.76 / $298.93	Professional		$94.94	$157.76	$298.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $84.13 / $103.98 / $164.43	Facility		$84.13	$103.98	$164.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $142.21 / $176.23	Professional		$84.13	$142.21	$176.23
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $175.66 / $289.32	Professional		$124.56	$175.66	$289.32