Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.84 / $3,839.00 / $8,113.00	Facility		$26.84	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $24.70 / $29.98	Professional		$23.12	$24.70	$29.98
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 $21.96 / $36.36 / $53.70	Professional		$21.96	$36.36	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $94.98 / $94.98	Facility		$94.98	$94.98	$94.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.56 / $35.11 / $58.00	Professional		$26.56	$35.11	$58.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $36.88 / $36.88	Professional		$28.09	$36.88	$36.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $26.17 / $700.00	Professional		$23.12	$26.17	$700.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $45.20 / $62.80	Professional		$34.70	$45.20	$62.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $94.98 / $94.98	Facility		$94.98	$94.98	$94.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $35.11 / $60.86	Professional		$26.95	$35.11	$60.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.61 / $24.61 / $29.79	Facility		$24.61	$24.61	$29.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $24.71 / $29.79	Professional		$23.89	$24.71	$29.79
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $31.98 / $52.62	Professional		$23.28	$31.98	$52.62