Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $2,070.00 / $7,197.00	Facility		$379.00	$2,070.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $76.53 / $163.87	Professional		$41.18	$76.53	$163.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.14 / $646.98 / $646.98	Professional	50	$126.14	$646.98	$646.98
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 $79.11 / $82.09 / $208.22	Professional		$79.11	$82.09	$208.22
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $118.66 / $138.56 / $312.32	Professional	50	$118.66	$138.56	$312.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $76.73 / $76.73	Facility		$76.73	$76.73	$76.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.07 / $99.05 / $170.67	Professional		$49.07	$99.05	$170.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $127.02 / $163.61	Professional		$94.72	$127.02	$163.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,266.00 / $8,017.00	Facility		$617.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $94.40 / $299.66	Professional		$42.51	$94.40	$299.66
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $126.14 / $646.98 / $646.98	Professional	50	$126.14	$646.98	$646.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $122.99 / $190.80	Professional		$42.54	$122.99	$190.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $76.73 / $76.73	Facility		$76.73	$76.73	$76.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $99.05 / $185.80	Professional		$48.92	$99.05	$185.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $79.38 / $157.22	Facility		$43.97	$79.38	$157.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $77.84 / $107.27	Professional		$43.97	$77.84	$107.27
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $108.63 / $172.64	Professional		$67.92	$108.63	$172.64