Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $310.48 / $7,781.43	Facility		$168.30	$310.48	$7,781.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.68 / $160.96 / $309.01	Professional		$138.68	$160.96	$309.01
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 $167.91 / $174.25 / $339.07	Professional		$167.91	$174.25	$339.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $339.49 / $7,570.74	Facility		$141.94	$339.49	$7,570.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $287.91 / $628.20	Professional		$138.30	$287.91	$628.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $201.52 / $259.69 / $510.87	Professional		$201.52	$259.69	$510.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $310.48 / $2,947.51	Facility		$168.30	$310.48	$2,947.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.68 / $168.30 / $495.17	Professional		$138.68	$168.30	$495.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $391.40 / $687.90 / $759.70	Professional		$391.40	$687.90	$759.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $138.34 / $296.87 / $9,214.70	Facility		$138.34	$296.87	$9,214.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $284.10 / $622.14	Professional		$138.30	$284.10	$622.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $162.88 / $162.88 / $496.17	Facility		$162.88	$162.88	$496.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $162.88 / $496.17	Professional		$160.69	$162.88	$496.17
United Facility/Professional Facility Modifier Low / Median / High Price $4,341.67 / $8,224.45 / $10,695.32	Facility		$4,341.67	$8,224.45	$10,695.32
United Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $222.44 / $483.55	Professional		$157.41	$222.44	$483.55