Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.91 / $220.91 / $32,881.00	Facility		$220.91	$220.91	$32,881.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $200.16 / $325.07	Professional		$175.07	$200.16	$325.07
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 $187.50 / $228.98 / $520.20	Professional		$187.50	$228.98	$520.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.68 / $101.31 / $130.63	Facility		$44.68	$101.31	$130.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.96 / $322.50 / $499.37	Professional		$182.96	$322.50	$499.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $112.06 / $112.06 / $112.06	Facility		$112.06	$112.06	$112.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.43 / $278.85 / $512.89	Professional		$207.43	$278.85	$512.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $220.91 / $30,677.00 / $32,881.00	Facility		$220.91	$30,677.00	$32,881.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $180.57 / $219.73 / $656.10	Professional		$180.57	$219.73	$656.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.17 / $285.44 / $518.50	Professional		$75.17	$285.44	$518.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $44.68 / $62.09 / $108.77	Facility		$44.68	$62.09	$108.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $182.96 / $308.68 / $517.54	Professional		$182.96	$308.68	$517.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $186.38 / $186.38 / $320.63	Facility		$186.38	$186.38	$320.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $182.83 / $186.38 / $320.63	Professional		$182.83	$186.38	$320.63
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $1,239.00 / $4,789.00	Facility		$162.00	$1,239.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.54 / $267.18 / $431.75	Professional		$183.54	$267.18	$431.75