Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,747.00 / $8,017.00	Facility		$918.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $126.50 / $199.53	Professional		$116.22	$126.50	$199.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $155.87 / $155.87	Professional		$150.19	$155.87	$155.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.37 / $170.37 / $170.37	Facility		$170.37	$170.37	$170.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.13 / $160.05 / $259.60	Professional		$121.13	$160.05	$259.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.71 / $253.63 / $312.13	Professional		$180.71	$253.63	$312.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,077.00 / $8,017.00	Facility		$954.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $117.79 / $137.13 / $2,467.00	Professional		$117.79	$137.13	$2,467.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $251.80 / $328.40	Professional		$3.00	$251.80	$328.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $170.37 / $170.37 / $170.37	Facility		$170.37	$170.37	$170.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $125.78 / $162.00 / $259.60	Professional		$125.78	$162.00	$259.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $126.90 / $126.90 / $235.39	Facility		$126.90	$126.90	$235.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $127.69 / $187.59	Professional		$122.83	$127.69	$187.59
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $164.64 / $263.62	Professional		$122.13	$164.64	$263.62