Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,761.00 / $10,527.00	Facility		$882.00	$4,761.00	$10,527.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $478.33 / $2,402.46	Professional		$78.14	$478.33	$2,402.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,040.93 / $2,117.94 / $3,784.69	Professional		$2,040.93	$2,117.94	$3,784.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $500.00 / $880.00	Facility		$148.97	$500.00	$880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $259.14 / $3,637.27	Professional		$75.91	$259.14	$3,637.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $194.69 / $194.69 / $194.69	Facility		$194.69	$194.69	$194.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,520.98 / $3,370.96 / $4,268.97	Professional		$2,520.98	$3,370.96	$4,268.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,526.00 / $11,043.00	Facility		$1,301.00	$5,526.00	$11,043.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $1,682.64 / $5,958.00	Professional		$87.44	$1,682.64	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,118.60 / $4,530.39 / $5,078.60	Professional		$4,118.60	$4,530.39	$5,078.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $500.00 / $880.00	Facility		$148.97	$500.00	$880.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $408.50 / $3,626.05	Professional		$76.30	$408.50	$3,626.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $82.63 / $113.60 / $2,118.82	Facility		$82.63	$113.60	$2,118.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $1,638.29 / $1,837.01	Professional		$82.63	$1,638.29	$1,837.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $4,127.00 / $8,026.00	Facility		$2,332.00	$4,127.00	$8,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,600.65 / $2,308.59 / $3,814.57	Professional		$1,600.65	$2,308.59	$3,814.57