Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.95 / $1,819.00 / $7,197.00	Facility		$316.95	$1,819.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $57.47 / $70.48	Professional		$45.62	$57.47	$70.48
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 $53.18 / $55.19 / $124.09	Professional		$53.18	$55.19	$124.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $69.45 / $112.07	Professional		$49.40	$69.45	$112.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $81.04 / $81.23	Professional		$61.33	$81.04	$81.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $337.64 / $1,819.00 / $7,197.00	Facility		$337.64	$1,819.00	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $62.11 / $1,023.00	Professional		$45.76	$62.11	$1,023.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $120.80 / $148.19	Professional		$6.00	$120.80	$148.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $52.88 / $70.45 / $116.99	Professional		$52.88	$70.45	$116.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $47.55 / $106.94	Facility		$47.55	$47.55	$106.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $47.76 / $106.94	Professional		$46.13	$47.76	$106.94
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $64.70 / $111.10	Professional		$47.83	$64.70	$111.10