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 $39.67 / $79.94 / $190.90	Professional		$39.67	$79.94	$190.90
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 $77.52 / $80.44 / $244.09	Professional		$77.52	$80.44	$244.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $74.15 / $74.15	Facility		$74.15	$74.15	$74.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $98.72 / $201.34	Professional		$48.04	$98.72	$201.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $124.70 / $160.30	Professional		$92.81	$124.70	$160.30
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 $43.20 / $92.14 / $375.82	Professional		$43.20	$92.14	$375.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $119.70 / $215.10	Professional		$41.04	$119.70	$215.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $74.15 / $74.15	Facility		$74.15	$74.15	$74.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $98.72 / $204.85	Professional		$48.00	$98.72	$204.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $78.42 / $160.94	Facility		$42.38	$78.42	$160.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $76.84 / $95.54	Professional		$42.38	$76.84	$95.54
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 $72.47 / $108.71 / $195.39	Professional		$72.47	$108.71	$195.39