Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.97 / $2,543.00 / $8,017.00	Facility		$121.97	$2,543.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $107.95 / $172.66	Professional		$59.95	$107.95	$172.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $124.06 / $128.74 / $128.74	Professional		$124.06	$128.74	$128.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $116.18 / $201.69	Professional		$64.56	$116.18	$201.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $193.24 / $199.74	Professional		$150.30	$193.24	$199.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,077.00 / $8,017.00	Facility		$657.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $116.69 / $1,056.00	Professional		$60.63	$116.69	$1,056.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.90 / $109.90 / $115.80	Professional		$109.90	$109.90	$115.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $116.69 / $116.69 / $116.69	Facility		$116.69	$116.69	$116.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $117.04 / $209.10	Professional		$66.92	$117.04	$209.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $67.02 / $88.84 / $137.24	Facility		$67.02	$88.84	$137.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $123.25 / $135.05	Professional		$67.02	$123.25	$135.05
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $4,300.00	Facility		$144.00	$650.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $143.74 / $249.80	Professional		$112.05	$143.74	$249.80