Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.07 / $235.39 / $1,359.00	Facility		$202.07	$235.39	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.79 / $213.36 / $275.67	Professional		$199.79	$213.36	$275.67
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 $157.37 / $185.14 / $185.14	Professional		$157.37	$185.14	$185.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.70 / $265.56 / $406.17	Professional		$198.70	$265.56	$406.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $480.56 / $480.56 / $480.56	Professional		$480.56	$480.56	$480.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $235.39 / $235.39 / $1,812.00	Facility		$235.39	$235.39	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $199.79 / $206.32 / $275.67	Professional		$199.79	$206.32	$275.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $307.70 / $307.70 / $307.70	Professional		$307.70	$307.70	$307.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $204.79 / $274.85 / $486.95	Professional		$204.79	$274.85	$486.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $181.67 / $181.67 / $181.67	Facility		$181.67	$181.67	$181.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.67 / $181.67 / $181.67	Professional		$181.67	$181.67	$181.67
United Facility/Professional Professional Modifier Low / Median / High Price $198.46 / $264.11 / $417.16	Professional		$198.46	$264.11	$417.16