Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,422.00 / $7,799.00	Facility		$617.00	$2,422.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $193.31 / $237.18	Professional		$123.74	$193.31	$237.18
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 $167.35 / $173.67 / $173.67	Professional		$167.35	$173.67	$173.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $343.00 / $649.00	Facility		$193.75	$343.00	$649.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $177.57 / $327.52	Professional		$119.80	$177.57	$327.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $363.17 / $363.17 / $363.17	Facility		$363.17	$363.17	$363.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.91 / $243.55 / $317.80	Professional		$172.91	$243.55	$317.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,422.00 / $7,799.00	Facility		$657.00	$2,422.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $207.67 / $1,426.00	Professional		$137.33	$207.67	$1,426.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $151.19 / $151.19 / $151.19	Facility		$151.19	$151.19	$151.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $186.50 / $424.40	Professional		$151.19	$186.50	$424.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $343.00 / $649.00	Facility		$193.75	$343.00	$649.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $120.58 / $176.56 / $306.77	Professional		$120.58	$176.56	$306.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $151.88 / $165.82 / $165.82	Facility		$151.88	$165.82	$165.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $165.82 / $172.07	Professional		$151.88	$165.82	$172.07
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 $122.40 / $181.79 / $309.07	Professional		$122.40	$181.79	$309.07