Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.66 / $2,070.00 / $7,629.00	Facility		$142.66	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $113.60 / $157.01	Professional		$44.00	$113.60	$157.01
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 $120.77 / $125.32 / $200.51	Professional		$120.77	$125.32	$200.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $85.08 / $85.08	Facility		$85.08	$85.08	$85.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $103.21 / $246.12	Professional		$48.74	$103.21	$246.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $146.03 / $188.78 / $250.64	Professional		$146.03	$188.78	$250.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,326.00 / $8,017.00	Facility		$617.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $116.84 / $423.72	Professional		$47.12	$116.84	$423.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.20 / $518.40 / $518.40	Professional		$198.20	$518.40	$518.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $48.47 / $85.08 / $85.08	Facility		$48.47	$85.08	$85.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $105.80 / $245.09	Professional		$48.74	$105.80	$245.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $122.41 / $553.79	Facility		$49.06	$122.41	$553.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $120.74 / $168.98	Professional		$49.06	$120.74	$168.98
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 $114.75 / $156.81 / $369.36	Professional		$114.75	$156.81	$369.36