Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.28 / $2,240.00 / $7,629.00	Facility		$139.28	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $109.30 / $151.78	Professional		$46.79	$109.30	$151.78
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 $110.57 / $114.74 / $114.74	Professional		$110.57	$114.74	$114.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.62 / $97.39 / $223.57	Professional		$47.62	$97.39	$223.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $179.04 / $179.04 / $183.41	Professional		$179.04	$179.04	$183.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $8,017.00	Facility		$617.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $121.19 / $800.39	Professional		$46.79	$121.19	$800.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $180.30 / $312.20	Professional		$4.00	$180.30	$312.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $107.30 / $206.95	Professional		$48.92	$107.30	$206.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.71 / $109.74 / $189.19	Facility		$42.71	$109.74	$189.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $108.14 / $123.34	Professional		$42.71	$108.14	$123.34
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,305.00 / $3,742.00	Facility		$435.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.71 / $160.81 / $244.27	Professional		$112.71	$160.81	$244.27