Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.76 / $2,070.00 / $7,629.00	Facility		$231.76	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.44 / $222.23 / $300.95	Professional		$175.44	$222.23	$300.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $255.22 / $264.85 / $264.85	Professional		$255.22	$264.85	$264.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.11 / $299.13 / $490.96	Professional		$219.11	$299.13	$490.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $303.50 / $403.29 / $403.29	Professional		$303.50	$403.29	$403.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,326.00 / $8,017.00	Facility		$617.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $244.02 / $1,116.61	Professional		$187.20	$244.02	$1,116.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $306.80 / $661.70	Professional		$6.00	$306.80	$661.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $231.96 / $307.02 / $494.14	Professional		$231.96	$307.02	$494.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $208.21 / $225.35 / $259.92	Facility		$208.21	$225.35	$259.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $208.21 / $246.10 / $268.23	Professional		$208.21	$246.10	$268.23
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $541.00 / $3,742.00	Facility		$162.00	$541.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.09 / $321.31 / $543.64	Professional		$238.09	$321.31	$543.64