Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.11 / $1,360.00 / $1,965.00	Facility		$364.11	$1,360.00	$1,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.59 / $400.00 / $475.00	Professional		$205.59	$400.00	$475.00
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 $196.92 / $328.85 / $419.67	Professional		$196.92	$328.85	$419.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.54 / $329.31 / $551.46	Facility		$202.54	$329.31	$551.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $265.02 / $432.65	Professional		$161.68	$265.02	$432.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.77 / $283.04 / $492.90	Professional		$234.77	$283.04	$492.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $300.83 / $1,423.75 / $2,097.00	Facility		$300.83	$1,423.75	$2,097.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $415.00 / $1,037.00	Professional		$207.47	$415.00	$1,037.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $256.10 / $409.54	Professional		$153.63	$256.10	$409.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $202.54 / $329.31 / $551.46	Facility		$202.54	$329.31	$551.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $173.71 / $265.02 / $434.31	Professional		$173.71	$265.02	$434.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $200.76 / $200.76 / $243.21	Facility		$200.76	$200.76	$243.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $197.94 / $200.76 / $243.21	Professional		$197.94	$200.76	$243.21
United Facility/Professional Professional Modifier Low / Median / High Price $195.06 / $244.46 / $421.05	Professional		$195.06	$244.46	$421.05