Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.05 / $85.30 / $1,359.00	Facility		$31.05	$85.30	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $56.29 / $146.74	Professional		$28.86	$56.29	$146.74
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 $91.79 / $121.96 / $158.44	Professional		$91.79	$121.96	$158.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $50.93	Facility		$50.93	$50.93	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $63.75 / $146.58	Professional		$30.57	$63.75	$146.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.09 / $191.19 / $254.00	Professional		$148.09	$191.19	$254.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.05 / $96.15 / $1,812.00	Facility		$31.05	$96.15	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $62.86 / $164.29	Professional		$29.80	$62.86	$164.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $80.00 / $247.38	Professional		$41.35	$80.00	$247.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $82.63	Facility		$50.93	$50.93	$82.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $64.51 / $150.05	Professional		$30.57	$64.51	$150.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $82.63 / $107.24	Facility		$29.97	$82.63	$107.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $82.63 / $116.26	Professional		$32.78	$82.63	$116.26
United Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $83.88 / $148.29	Professional		$58.86	$83.88	$148.29