Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $2,747.00 / $8,113.00	Facility		$66.31	$2,747.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $91.38 / $132.28	Professional		$63.35	$91.38	$132.28
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 $107.86 / $111.93 / $182.07	Professional		$107.86	$111.93	$182.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $100.91 / $171.97	Professional		$66.34	$100.91	$171.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $167.27 / $172.95	Professional		$130.10	$167.27	$172.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $4,761.00 / $8,247.00	Facility		$657.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $93.86 / $387.25	Professional		$63.42	$93.86	$387.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $136.19	Professional		$128.69	$128.69	$136.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $122.95 / $122.95 / $122.95	Facility		$122.95	$122.95	$122.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $106.03 / $190.99	Professional		$68.16	$106.03	$190.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $71.11 / $80.54 / $110.26	Facility		$71.11	$80.54	$110.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.11 / $102.34 / $112.08	Professional		$71.11	$102.34	$112.08
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 $90.70 / $113.58 / $205.15	Professional		$90.70	$113.58	$205.15