Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,747.00 / $8,017.00	Facility		$832.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.38 / $187.77 / $235.90	Professional		$165.38	$187.77	$235.90
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 $185.45 / $192.44 / $302.77	Professional		$185.45	$192.44	$302.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.83 / $210.83 / $210.83	Facility		$210.83	$210.83	$210.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $226.79 / $363.69	Professional		$172.47	$226.79	$363.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.82 / $276.86 / $376.34	Professional		$213.82	$276.86	$376.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,120.00 / $8,017.00	Facility		$934.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $169.69 / $197.90 / $1,056.00	Professional		$169.69	$197.90	$1,056.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.70 / $242.70 / $367.60	Professional		$242.70	$242.70	$367.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $190.76 / $210.83 / $210.83	Facility		$190.76	$210.83	$210.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $174.95 / $224.78 / $368.78	Professional		$174.95	$224.78	$368.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $180.19 / $180.19 / $205.15	Facility		$180.19	$180.19	$205.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $174.49 / $181.33 / $205.15	Professional		$174.49	$181.33	$205.15
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 $179.12 / $219.16 / $362.83	Professional		$179.12	$219.16	$362.83