Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,422.00 / $7,799.00	Facility		$617.00	$2,422.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $113.79 / $137.07	Professional		$97.10	$113.79	$137.07
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 $96.22 / $133.69 / $200.51	Professional		$96.22	$133.69	$200.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $500.00 / $880.00	Facility		$110.57	$500.00	$880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $136.10 / $216.95	Professional		$94.34	$136.10	$216.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $209.12 / $209.12 / $209.12	Facility		$209.12	$209.12	$209.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.29 / $143.69 / $183.59	Professional		$109.29	$143.69	$183.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,422.00 / $7,799.00	Facility		$657.00	$2,422.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $99.35 / $119.26 / $1,426.00	Professional		$99.35	$119.26	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.20 / $241.40 / $241.40	Professional		$194.20	$241.40	$241.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $500.00 / $880.00	Facility		$110.57	$500.00	$880.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.69 / $134.57 / $222.85	Professional		$93.69	$134.57	$222.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $95.15 / $95.15 / $119.89	Facility		$95.15	$95.15	$119.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $95.38 / $119.89	Professional		$92.53	$95.38	$119.89
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $577.00 / $3,742.00	Facility		$226.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $120.96 / $196.03	Professional		$93.46	$120.96	$196.03