Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $1,426.00 / $7,175.00	Facility		$19.55	$1,426.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $41.36 / $84.96	Professional		$17.96	$41.36	$84.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $83.42 / $83.42	Professional		$80.39	$83.42	$83.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $323.00	Facility		$29.04	$29.04	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Professional		$74.09	$74.09	$74.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.26 / $46.26 / $46.26	Facility		$46.26	$46.26	$46.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.04 / $125.01 / $167.35	Professional		$97.04	$125.01	$167.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $1,426.00 / $7,197.00	Facility		$19.55	$1,426.00	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $56.79 / $118.18	Professional		$19.03	$56.79	$118.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $19.89 / $19.89	Facility		$19.89	$19.89	$19.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $23.10 / $226.30	Professional		$19.89	$23.10	$226.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $323.00	Facility		$29.04	$29.04	$323.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Professional		$74.09	$74.09	$74.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $80.16 / $80.16	Facility		$21.35	$80.16	$80.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $36.21 / $86.73	Professional		$21.35	$36.21	$86.73
United Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $80.23 / $152.50	Professional		$40.90	$80.23	$152.50