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 $100.90 / $117.32 / $159.13	Professional		$100.90	$117.32	$159.13
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 $101.63 / $119.56 / $234.74	Professional		$101.63	$119.56	$234.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $176.53 / $270.64	Professional		$128.26	$176.53	$270.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $178.46 / $178.46	Professional		$134.63	$178.46	$178.46
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 $106.83 / $144.91 / $1,023.00	Professional		$106.83	$144.91	$1,023.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $187.70 / $294.70	Professional		$5.00	$187.70	$294.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $170.29 / $310.00	Professional		$128.26	$170.29	$310.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $115.42 / $115.42 / $150.94	Facility		$115.42	$115.42	$150.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $111.38 / $116.53 / $150.94	Professional		$111.38	$116.53	$150.94
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 $125.49 / $164.81 / $251.17	Professional		$125.49	$164.81	$251.17