Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,747.00 / $8,017.00	Facility		$918.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $112.29 / $175.40	Professional		$100.31	$112.29	$175.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,463.00 / $11,091.00	Facility		$4,150.00	$7,463.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $114.61 / $118.93 / $189.00	Professional		$114.61	$118.93	$189.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.16 / $130.16 / $130.16	Facility		$130.16	$130.16	$130.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $146.62 / $230.44	Professional		$110.34	$146.62	$230.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $133.84 / $182.00 / $231.17	Professional		$133.84	$182.00	$231.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,077.00 / $8,017.00	Facility		$954.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $127.85 / $1,426.00	Professional		$102.75	$127.85	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $151.00 / $233.90	Professional		$151.00	$151.00	$233.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $130.16 / $130.16 / $130.16	Facility		$130.16	$130.16	$130.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $147.58 / $231.58	Professional		$110.34	$147.58	$231.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $112.28 / $112.28 / $123.10	Facility		$112.28	$112.28	$123.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $108.02 / $113.68 / $123.10	Professional		$108.02	$113.68	$123.10
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 $111.95 / $150.97 / $225.87	Professional		$111.95	$150.97	$225.87