Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.07 / $1,978.00 / $7,629.00	Facility		$92.07	$1,978.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $74.80 / $128.66	Professional		$46.73	$74.80	$128.66
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 $84.77 / $87.97 / $131.43	Professional		$84.77	$87.97	$131.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $93.88 / $157.43	Professional		$56.64	$93.88	$157.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $101.37 / $134.37 / $136.55	Professional		$101.37	$134.37	$136.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $2,266.00 / $8,017.00	Facility		$536.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $83.11 / $310.45	Professional		$51.01	$83.11	$310.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $179.00 / $219.90	Professional		$3.00	$179.00	$219.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.20 / $94.60 / $168.67	Professional		$58.20	$94.60	$168.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.75 / $59.22 / $90.74	Facility		$51.75	$59.22	$90.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $80.67 / $87.85	Professional		$51.75	$80.67	$87.85
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $105.58 / $170.10	Professional		$79.89	$105.58	$170.10