Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.58 / $2,240.00 / $7,629.00	Facility		$162.58	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $140.34 / $188.90	Professional		$101.54	$140.34	$188.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $144.81 / $150.27 / $150.27	Professional		$144.81	$150.27	$150.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.29 / $270.52 / $795.00	Facility		$146.29	$270.52	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $166.38 / $297.95	Professional		$108.77	$166.38	$297.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $240.43 / $240.43 / $240.43	Facility		$240.43	$240.43	$240.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $174.26 / $230.87 / $294.98	Professional		$174.26	$230.87	$294.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $7,799.00	Facility		$641.00	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.58 / $162.58 / $624.00	Professional		$104.58	$162.58	$624.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $150.69 / $150.69 / $150.69	Facility		$150.69	$150.69	$150.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $162.00 / $404.00	Professional		$5.00	$162.00	$404.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $141.66 / $320.00 / $1,113.00	Facility		$141.66	$320.00	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $110.69 / $167.14 / $303.60	Professional		$110.69	$167.14	$303.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $102.81 / $104.42 / $143.28	Facility		$102.81	$104.42	$143.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $140.63 / $153.76	Professional		$102.61	$140.63	$153.76
United Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $541.00 / $3,742.00	Facility		$80.00	$541.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.04 / $172.81 / $300.73	Professional		$136.04	$172.81	$300.73