Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.01 / $116.46 / $1,359.00	Facility		$104.01	$116.46	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.92 / $106.20 / $129.94	Professional		$94.92	$106.20	$129.94
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 $106.11 / $110.11 / $209.85	Professional		$106.11	$110.11	$209.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Facility		$122.50	$122.50	$122.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $138.38 / $240.92	Professional		$100.52	$138.38	$240.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $153.40 / $209.19	Professional		$105.64	$153.40	$209.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $116.46 / $1,812.00	Facility		$116.46	$116.46	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $111.58 / $195.36	Professional		$98.87	$111.58	$195.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.03 / $164.50 / $220.30	Professional		$102.03	$164.50	$220.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $119.96 / $122.50 / $122.50	Facility		$119.96	$122.50	$122.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $139.91 / $245.19	Professional		$100.52	$139.91	$245.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $106.19 / $106.19 / $111.02	Facility		$106.19	$106.19	$111.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $106.46 / $110.53	Professional		$103.25	$106.46	$110.53
United Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $129.29 / $214.07	Professional		$99.61	$129.29	$214.07