Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.16 / $1,569.00 / $8,017.00	Facility		$141.16	$1,569.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $179.71 / $233.60	Professional		$92.80	$179.71	$233.60
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 $225.28 / $233.78 / $379.37	Professional		$225.28	$233.78	$379.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.02 / $160.74 / $160.74	Facility		$97.02	$160.74	$160.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $198.64 / $354.80	Professional		$99.11	$198.64	$354.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.68 / $347.21 / $467.50	Professional		$269.68	$347.21	$467.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $233.60 / $1,812.00 / $8,017.00	Facility		$233.60	$1,812.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $200.27 / $527.13	Professional		$92.84	$200.27	$527.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.43 / $216.40 / $445.70	Professional		$121.43	$216.40	$445.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $97.02 / $160.74 / $203.87	Facility		$97.02	$160.74	$203.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $204.72 / $367.33	Professional		$100.67	$204.72	$367.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $92.34 / $96.81 / $331.00	Facility		$92.34	$96.81	$331.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $213.16 / $232.14	Professional		$94.51	$213.16	$232.14
United Facility/Professional Professional Modifier Low / Median / High Price $169.20 / $223.16 / $405.32	Professional		$169.20	$223.16	$405.32