Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,422.00 / $8,017.00	Facility		$594.00	$2,422.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $106.38 / $153.46	Professional		$95.97	$106.38	$153.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $100.73 / $160.16 / $219.13	Professional		$100.73	$160.16	$219.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $148.27 / $238.23	Professional		$110.25	$148.27	$238.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.65 / $192.96 / $192.96	Professional		$142.65	$192.96	$192.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,422.00 / $8,017.00	Facility		$641.00	$2,422.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $123.99 / $1,023.00	Professional		$95.97	$123.99	$1,023.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $154.10 / $282.10	Professional		$5.00	$154.10	$282.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $147.16 / $264.61	Professional		$111.79	$147.16	$264.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $124.10	Facility		$110.81	$110.81	$124.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.32 / $113.42 / $124.10	Professional		$105.32	$113.42	$124.10
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 $113.98 / $153.24 / $237.32	Professional		$113.98	$153.24	$237.32