Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.68 / $2,070.00 / $7,629.00	Facility		$184.68	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.40 / $164.87 / $215.12	Professional		$139.40	$164.87	$215.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $184.09 / $191.04 / $191.04	Professional		$184.09	$191.04	$191.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $208.41 / $364.20	Professional		$149.38	$208.41	$364.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $222.03 / $294.64 / $299.64	Professional		$222.03	$294.64	$299.64
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 $139.40 / $174.85 / $808.75	Professional		$139.40	$174.85	$808.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $180.00 / $486.70	Professional		$5.00	$180.00	$486.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $156.85 / $216.56 / $364.20	Professional		$156.85	$216.56	$364.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $145.84 / $153.43 / $180.62	Facility		$145.84	$153.43	$180.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $163.59 / $193.52	Professional		$150.01	$163.59	$193.52
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.56 / $199.30 / $341.70	Professional		$149.56	$199.30	$341.70