Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.19 / $185.50 / $6,359.43	Facility		$175.19	$185.50	$6,359.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $183.44 / $237.86	Professional		$144.13	$183.44	$237.86
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 $298.72 / $392.30 / $392.30	Professional		$298.72	$392.30	$392.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $368.30	Facility		$302.83	$302.83	$368.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $257.41 / $322.50	Professional		$257.41	$257.41	$322.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $368.30 / $699.77	Professional		$338.84	$368.30	$699.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $175.19 / $6,359.43 / $6,359.43	Facility		$175.19	$6,359.43	$6,359.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $185.50 / $268.14	Professional		$140.72	$185.50	$268.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $249.40 / $502.30 / $725.60	Professional		$249.40	$502.30	$725.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $368.30	Facility		$302.83	$302.83	$368.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $257.41 / $435.38	Professional		$257.41	$257.41	$435.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $271.27 / $271.27 / $373.40	Facility		$271.27	$271.27	$373.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $271.27 / $357.57 / $373.40	Professional		$271.27	$357.57	$373.40
United Facility/Professional Facility Modifier Low / Median / High Price $130.99 / $224.66 / $256.16	Facility		$130.99	$224.66	$256.16
United Facility/Professional Professional Modifier Low / Median / High Price $176.89 / $212.02 / $326.19	Professional		$176.89	$212.02	$326.19