Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,747.00 / $8,017.00	Facility		$882.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.85 / $138.57 / $204.27	Professional		$133.85	$138.57	$204.27
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 $154.12 / $159.94 / $159.94	Professional		$154.12	$159.94	$159.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.40 / $196.29 / $401.92	Professional		$145.40	$196.29	$401.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $182.41 / $234.52 / $243.83	Professional		$182.41	$234.52	$243.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,077.00 / $8,017.00	Facility		$934.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $133.85 / $152.58 / $2,467.00	Professional		$133.85	$152.58	$2,467.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $446.00 / $446.00	Professional		$156.38	$446.00	$446.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $177.77 / $177.77 / $177.77	Facility		$177.77	$177.77	$177.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $194.66 / $427.72	Professional		$149.63	$194.66	$427.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $151.10 / $151.10 / $301.48	Facility		$151.10	$151.10	$301.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.10 / $154.10 / $301.48	Professional		$151.10	$154.10	$301.48
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 $137.43 / $191.10 / $314.42	Professional		$137.43	$191.10	$314.42