Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.97 / $2,070.00 / $6,012.00	Facility		$185.97	$2,070.00	$6,012.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,002.20 / $8,012.57 / $8,012.57	Facility	50	$3,002.20	$8,012.57	$8,012.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $121.97 / $217.76	Professional		$72.66	$121.97	$217.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $348.43 / $348.43 / $348.43	Professional	50	$348.43	$348.43	$348.43
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 $130.55 / $191.31 / $265.56	Professional		$130.55	$191.31	$265.56
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $195.82 / $286.97 / $398.35	Professional	50	$195.82	$286.97	$398.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $147.80 / $245.78	Professional		$85.28	$147.80	$245.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $203.29 / $264.99	Professional		$118.59	$203.29	$264.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $400.68 / $2,163.15 / $7,197.00	Facility		$400.68	$2,163.15	$7,197.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,002.20 / $8,012.57 / $8,012.57	Facility	50	$3,002.20	$8,012.57	$8,012.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $146.22 / $404.33	Professional		$75.81	$146.22	$404.33
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $348.43 / $348.43 / $348.43	Professional	50	$348.43	$348.43	$348.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $142.19 / $282.89	Professional		$77.68	$142.19	$282.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $147.80 / $261.70	Professional		$84.62	$147.80	$261.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $76.84 / $96.79 / $160.86	Facility		$76.84	$96.79	$160.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $128.75 / $139.62	Professional		$76.84	$128.75	$139.62
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 $124.36 / $180.10 / $266.51	Professional		$124.36	$180.10	$266.51