Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.34 / $147.34 / $1,359.00	Facility		$147.34	$147.34	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.06 / $138.38 / $159.81	Professional		$124.06	$138.38	$159.81
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 $136.80 / $141.97 / $300.20	Professional		$136.80	$141.97	$300.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $308.74 / $759.25	Facility		$46.88	$308.74	$759.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.51 / $179.29 / $288.18	Professional		$135.51	$179.29	$288.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $297.13 / $297.13 / $297.13	Facility		$297.13	$297.13	$297.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $197.02 / $260.39	Professional		$149.69	$197.02	$260.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $147.34 / $203.98 / $1,812.00	Facility		$147.34	$203.98	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $124.94 / $142.46 / $360.34	Professional		$124.94	$142.46	$360.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.69 / $272.30 / $346.70	Professional		$132.69	$272.30	$346.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $299.57 / $632.19	Facility		$46.88	$299.57	$632.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $177.12 / $288.18	Professional		$133.50	$177.12	$288.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $134.97 / $134.97 / $151.68	Facility		$134.97	$134.97	$151.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $135.25 / $151.68	Professional		$131.30	$135.25	$151.68
United Facility/Professional Professional Modifier Low / Median / High Price $119.14 / $151.65 / $266.95	Professional		$119.14	$151.65	$266.95