Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.57 / $2,266.00 / $7,197.00	Facility		$53.57	$2,266.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $45.78 / $98.42	Professional		$24.47	$45.78	$98.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $950.40 / $1,359.00 / $5,044.89	Facility		$950.40	$1,359.00	$5,044.89
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $59.61 / $98.91	Professional		$57.44	$59.61	$98.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $52.41 / $97.49	Professional		$26.67	$52.41	$97.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $87.82 / $90.20	Professional		$68.30	$87.82	$90.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,266.00 / $7,799.00	Facility		$490.00	$2,266.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $48.86 / $234.00	Professional		$24.64	$48.86	$234.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $51.80 / $54.50	Professional		$51.80	$51.80	$54.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $46.24 / $46.24 / $46.24	Facility		$46.24	$46.24	$46.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $53.56 / $101.85	Professional		$26.67	$53.56	$101.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $31.88 / $56.02	Facility		$26.62	$31.88	$56.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $49.41 / $59.88	Professional		$26.62	$49.41	$59.88
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $56.47 / $102.50	Professional		$47.06	$56.47	$102.50