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 $108.72 / $126.39 / $157.97	Professional		$108.72	$126.39	$157.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $174.55 / $239.80	Professional		$110.26	$174.55	$239.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $167.34 / $265.86	Professional		$128.66	$167.34	$265.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.16 / $192.02 / $192.50	Professional		$145.16	$192.02	$192.50
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 $114.13 / $139.18 / $1,234.00	Professional		$114.13	$139.18	$1,234.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $339.40 / $370.00	Professional		$3.00	$339.40	$370.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $133.05 / $173.83 / $287.07	Professional		$133.05	$173.83	$287.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $120.76 / $120.76 / $314.05	Facility		$120.76	$120.76	$314.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.02 / $121.44 / $314.05	Professional		$117.02	$121.44	$314.05
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 $117.91 / $162.65 / $268.75	Professional		$117.91	$162.65	$268.75