Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $3,494.00 / $7,799.00	Facility		$144.19	$3,494.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $127.84 / $173.62	Professional		$109.91	$127.84	$173.62
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 $136.38 / $188.90 / $253.54	Professional		$136.38	$188.90	$253.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $167.75 / $277.07	Professional		$122.32	$167.75	$277.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $186.08 / $247.15 / $249.46	Professional		$186.08	$247.15	$249.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,839.00 / $8,017.00	Facility		$768.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $144.19 / $735.00	Professional		$112.61	$144.19	$735.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $140.40 / $419.30	Professional		$3.00	$140.40	$419.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $126.09 / $170.99 / $281.70	Professional		$126.09	$170.99	$281.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $126.33 / $153.49 / $169.48	Facility		$126.33	$153.49	$169.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.33 / $151.30 / $165.38	Professional		$126.33	$151.30	$165.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.61 / $173.19 / $284.56	Professional		$127.61	$173.19	$284.56