Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.61 / $2,747.00 / $8,104.00	Facility		$179.61	$2,747.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $169.24 / $305.33	Professional		$62.92	$169.24	$305.33
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 $193.25 / $200.54 / $335.32	Professional		$193.25	$200.54	$335.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.79 / $107.24 / $107.24	Facility		$65.79	$107.24	$107.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $156.09 / $308.39	Professional		$67.16	$156.09	$308.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $232.90 / $299.95 / $402.12	Professional		$232.90	$299.95	$402.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $3,964.00 / $8,247.00	Facility		$594.00	$3,964.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.29 / $179.61 / $407.62	Professional		$64.29	$179.61	$407.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $219.00 / $380.90	Professional		$82.33	$219.00	$380.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.79 / $107.24 / $155.30	Facility		$65.79	$107.24	$155.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $159.97 / $308.72	Professional		$67.92	$159.97	$308.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $63.23 / $65.11 / $216.50	Facility		$63.23	$65.11	$216.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $185.82 / $203.94	Professional		$63.60	$185.82	$203.94
United Facility/Professional Professional Modifier Low / Median / High Price $159.76 / $204.63 / $372.45	Professional		$159.76	$204.63	$372.45