Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,819.00 / $6,432.00	Facility		$480.00	$1,819.00	$6,432.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,473.52 / $4,473.52 / $4,473.52	Facility	50	$4,473.52	$4,473.52	$4,473.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $67.29 / $113.73	Professional		$45.23	$67.29	$113.73
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $101.98 / $150.63	Professional		$69.81	$101.98	$150.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.87 / $82.87 / $82.87	Facility		$82.87	$82.87	$82.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.90 / $85.16 / $142.94	Professional		$52.90	$85.16	$142.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $106.88 / $140.16	Professional		$81.15	$106.88	$140.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,266.00 / $8,017.00	Facility		$594.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $4,473.52 / $4,473.52 / $4,473.52	Facility	50	$4,473.52	$4,473.52	$4,473.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $82.53 / $258.16	Professional		$46.69	$82.53	$258.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $80.95 / $149.40	Professional		$48.00	$80.95	$149.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $82.87 / $82.87 / $82.87	Facility		$82.87	$82.87	$82.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $85.16 / $145.82	Professional		$52.86	$85.16	$145.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.93 / $60.79 / $91.18	Facility		$47.93	$60.79	$91.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.93 / $68.72 / $74.20	Professional		$47.93	$68.72	$74.20
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 $71.47 / $99.92 / $151.49	Professional		$71.47	$99.92	$151.49