Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.88 / $167.05 / $1,359.00	Facility		$138.88	$167.05	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.03 / $141.81 / $167.05	Professional		$132.03	$141.81	$167.05
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 $143.66 / $149.08 / $236.11	Professional		$143.66	$149.08	$236.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.38 / $748.01 / $964.54	Facility		$192.38	$748.01	$964.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $146.62 / $262.36	Professional		$101.92	$146.62	$262.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $179.50 / $230.78 / $238.49	Professional		$179.50	$230.78	$238.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $167.05 / $167.05 / $1,812.00	Facility		$167.05	$167.05	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $132.03 / $146.15 / $202.11	Professional		$132.03	$146.15	$202.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $135.25 / $227.17	Professional		$65.80	$135.25	$227.17
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $171.12 / $384.36 / $803.12	Facility		$171.12	$384.36	$803.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $154.08 / $263.95	Professional		$105.60	$154.08	$263.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $144.15 / $144.15	Facility		$80.59	$144.15	$144.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $144.15 / $158.69	Professional		$80.59	$144.15	$158.69
United Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $142.31 / $248.02	Professional		$98.78	$142.31	$248.02