Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.16 / $2,240.00 / $7,629.00	Facility		$229.16	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $126.04 / $233.64	Professional		$87.00	$126.04	$233.64
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 $168.87 / $317.70 / $432.57	Professional		$168.87	$317.70	$432.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $153.85	Professional		$153.85	$153.85	$153.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $200.50 / $264.69 / $264.69	Professional		$200.50	$264.69	$264.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $8,017.00	Facility		$617.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $179.86 / $700.00	Professional		$88.15	$179.86	$700.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $534.00 / $534.00 / $534.00	Professional		$534.00	$534.00	$534.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $153.85	Professional		$153.85	$153.85	$153.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $94.46 / $119.38 / $251.34	Facility		$94.46	$119.38	$251.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $189.08 / $205.72	Professional		$94.38	$189.08	$205.72
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.10 / $288.57 / $507.35	Professional		$207.10	$288.57	$507.35