Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.18 / $223.65 / $21,879.00	Facility		$200.18	$223.65	$21,879.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.26 / $223.58 / $951.63	Professional		$187.26	$223.58	$951.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $192.92 / $308.43 / $427.86	Professional		$192.92	$308.43	$427.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.64 / $286.54 / $454.51	Professional		$216.64	$286.54	$454.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $273.63 / $371.35 / $371.35	Professional		$273.63	$371.35	$371.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $223.65 / $21,879.00 / $23,354.00	Facility		$223.65	$21,879.00	$23,354.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $199.04 / $322.30 / $951.63	Professional		$199.04	$322.30	$951.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $254.10 / $378.00 / $538.50	Professional		$254.10	$378.00	$538.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $217.91 / $286.54 / $454.51	Professional		$217.91	$286.54	$454.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $213.40 / $213.40 / $235.48	Facility		$213.40	$213.40	$235.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $201.71 / $219.61 / $235.48	Professional		$201.71	$219.61	$235.48
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $4,789.00	Facility		$912.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.70 / $297.61 / $469.51	Professional		$223.70	$297.61	$469.51