Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $2,505.00 / $15,000.00	Facility		$379.00	$2,505.00	$15,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $59.00 / $70.16	Professional		$50.12	$59.00	$70.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $50.83 / $50.83	Professional		$48.98	$50.83	$50.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $343.00 / $649.00	Facility		$57.01	$343.00	$649.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $65.91 / $111.87	Professional		$48.52	$65.91	$111.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $106.16 / $106.16 / $106.16	Facility		$106.16	$106.16	$106.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $72.51 / $92.64	Professional		$55.28	$72.51	$92.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,422.00 / $8,017.00	Facility		$617.00	$2,422.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $61.51 / $1,426.00	Professional		$51.47	$61.51	$1,426.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $69.09 / $69.09 / $69.09	Facility		$69.09	$69.09	$69.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $101.20 / $125.60	Professional		$69.09	$101.20	$125.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $343.00 / $649.00	Facility		$57.01	$343.00	$649.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $65.09 / $115.60	Professional		$48.17	$65.09	$115.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.07 / $49.07 / $82.01	Facility		$49.07	$49.07	$82.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $49.17 / $82.01	Professional		$47.73	$49.17	$82.01
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $557.00 / $3,742.00	Facility		$226.00	$557.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $59.94 / $100.04	Professional		$46.33	$59.94	$100.04