Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,371.00 / $7,799.00	Facility		$594.00	$2,371.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $128.43 / $159.36	Professional		$116.38	$128.43	$159.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $133.50 / $133.50	Professional		$128.63	$133.50	$133.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $147.13	Facility		$147.13	$147.13	$147.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $164.14 / $281.56	Professional		$121.36	$164.14	$281.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $146.82 / $188.80 / $261.75	Professional		$146.82	$188.80	$261.75
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 $116.38 / $133.50 / $704.87	Professional		$116.38	$133.50	$704.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $174.00 / $285.00	Professional		$27.40	$174.00	$285.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $139.13 / $147.13 / $147.13	Facility		$139.13	$147.13	$147.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $162.94 / $281.13	Professional		$121.36	$162.94	$281.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $126.88 / $126.88 / $180.76	Facility		$126.88	$126.88	$180.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.14 / $127.42 / $180.76	Professional		$123.14	$127.42	$180.76
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $1,078.00 / $3,742.00	Facility		$144.00	$1,078.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.72 / $155.87 / $271.62	Professional		$125.72	$155.87	$271.62