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 $102.54 / $113.93 / $146.43	Professional		$102.54	$113.93	$146.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $101.05 / $162.43 / $222.20	Professional		$101.05	$162.43	$222.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.48 / $154.82 / $243.22	Professional		$116.48	$154.82	$243.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.06 / $174.04 / $177.32	Professional		$132.06	$174.04	$177.32
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 $102.54 / $122.99 / $1,234.00	Professional		$102.54	$122.99	$1,234.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $154.30 / $287.80	Professional		$131.00	$154.30	$287.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $158.97 / $264.70	Professional		$118.88	$158.97	$264.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $110.79 / $112.38 / $112.38	Facility		$110.79	$112.38	$112.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.32 / $112.38 / $117.51	Professional		$109.32	$112.38	$117.51
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.05 / $142.63 / $236.55	Professional		$107.05	$142.63	$236.55