Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,422.00 / $7,799.00	Facility		$594.00	$2,422.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $81.94 / $103.72	Professional		$76.42	$81.94	$103.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $81.28 / $175.17	Professional		$78.31	$81.28	$175.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.80 / $224.53	Professional		$81.28	$117.80	$224.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $117.01 / $118.44	Professional		$88.90	$117.01	$118.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $8,017.00	Facility		$641.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $88.63 / $1,234.00	Professional		$76.42	$88.63	$1,234.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $132.80 / $194.40	Professional		$6.00	$132.80	$194.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $118.90 / $230.87	Professional		$85.18	$118.90	$230.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $76.48 / $76.48 / $148.94	Facility		$76.48	$76.48	$148.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $76.80 / $148.94	Professional		$74.27	$76.80	$148.94
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $105.01 / $168.66	Professional		$72.70	$105.01	$168.66