Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $2,070.00 / $7,629.00	Facility		$174.44	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $104.75 / $175.83	Professional		$45.05	$104.75	$175.83
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 $128.68 / $167.73 / $243.39	Professional		$128.68	$167.73	$243.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $136.97 / $270.44	Professional		$55.37	$136.97	$270.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.27 / $235.04 / $241.89	Professional		$177.27	$235.04	$241.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,326.00 / $8,017.00	Facility		$594.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $139.22 / $700.00	Professional		$46.49	$139.22	$700.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $143.19 / $424.80	Professional		$4.00	$143.19	$424.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $137.47 / $270.44	Professional		$55.87	$137.47	$270.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.32 / $133.27 / $206.79	Facility		$49.32	$133.27	$206.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $146.51 / $160.56	Professional		$49.32	$146.51	$160.56
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $4,789.00	Facility		$912.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.09 / $167.18 / $275.83	Professional		$121.09	$167.18	$275.83