Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $3,839.00 / $8,113.00	Facility		$120.45	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $118.75 / $147.84	Professional		$106.73	$118.75	$147.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $162.57 / $280.68	Professional		$112.60	$162.57	$280.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $526.00 / $2,269.00	Facility		$129.34	$526.00	$2,269.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.76 / $166.38 / $258.75	Professional		$110.76	$166.38	$258.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.15 / $250.15 / $250.15	Facility		$250.15	$250.15	$250.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.86 / $173.39 / $224.16	Professional		$134.86	$173.39	$224.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $129.66 / $683.00	Professional		$106.73	$129.66	$683.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $225.90 / $279.70	Professional		$202.40	$225.90	$279.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $526.00 / $2,269.00	Facility		$129.34	$526.00	$2,269.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $164.98 / $261.64	Professional		$111.55	$164.98	$261.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $111.07 / $111.07 / $150.93	Facility		$111.07	$111.07	$150.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $113.50 / $150.93	Professional		$105.82	$113.50	$150.93
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $148.83 / $237.60	Professional		$108.63	$148.83	$237.60