Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $1,633.00 / $6,432.00	Facility		$16.98	$1,633.00	$6,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.89 / $102.00	Professional		$16.98	$33.89	$102.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $33.31 / $33.31	Professional		$32.10	$33.31	$33.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.00 / $328.00 / $328.00	Facility		$328.00	$328.00	$328.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $31.79 / $63.46	Professional		$16.35	$31.79	$63.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $48.87 / $50.19	Professional		$38.01	$48.87	$50.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $2,070.00 / $7,799.00	Facility		$264.00	$2,070.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $36.71 / $161.13	Professional		$17.30	$36.71	$161.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $39.90 / $51.92	Professional		$28.30	$39.90	$51.92
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $28.94 / $28.94 / $328.00	Facility		$28.94	$28.94	$328.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $32.22 / $66.05	Professional		$16.68	$32.22	$66.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $32.44 / $42.32	Facility		$16.95	$32.44	$42.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $32.24 / $39.64	Professional		$16.95	$32.24	$39.64
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 $29.71 / $39.54 / $63.29	Professional		$29.71	$39.54	$63.29