Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $2,747.00 / $8,113.00	Facility		$42.29	$2,747.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $65.06 / $89.39	Professional		$40.02	$65.06	$89.39
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 $81.12 / $84.18 / $84.18	Professional		$81.12	$84.18	$84.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $86.07 / $149.19	Professional		$49.87	$86.07	$149.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $129.88 / $130.62	Professional		$97.72	$129.88	$130.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $4,761.00 / $8,247.00	Facility		$657.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $73.23 / $252.19	Professional		$42.29	$73.23	$252.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $105.70 / $212.60	Professional		$82.70	$105.70	$212.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $87.07 / $149.77	Professional		$52.71	$87.07	$149.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.78 / $50.10 / $80.34	Facility		$47.78	$50.10	$80.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $74.59 / $85.78	Professional		$47.78	$74.59	$85.78
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $557.00 / $3,742.00	Facility		$162.00	$557.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $102.71 / $166.27	Professional		$72.84	$102.71	$166.27