Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.93 / $1,819.00 / $7,197.00	Facility		$415.93	$1,819.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.43 / $376.64 / $518.11	Professional		$267.43	$376.64	$518.11
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 $415.14 / $430.80 / $430.80	Professional		$415.14	$430.80	$430.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $483.77 / $816.23	Facility		$343.00	$483.77	$816.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.04 / $430.81 / $730.90	Professional		$291.04	$430.81	$730.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $645.62 / $645.62 / $645.62	Facility		$645.62	$645.62	$645.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $500.31 / $662.92 / $847.01	Professional		$500.31	$662.92	$847.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $2,070.00 / $7,799.00	Facility		$536.00	$2,070.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $277.18 / $432.57 / $1,486.04	Professional		$277.18	$432.57	$1,486.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $330.50 / $330.50 / $330.50	Facility		$330.50	$330.50	$330.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $420.00 / $1,123.80	Professional		$5.00	$420.00	$1,123.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $483.77 / $1,113.00	Facility		$343.00	$483.77	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $294.45 / $432.92 / $730.90	Professional		$294.45	$432.92	$730.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $260.43 / $276.79 / $410.21	Facility		$260.43	$276.79	$410.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $270.57 / $346.43 / $440.60	Professional		$270.57	$346.43	$440.60
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 $330.89 / $455.14 / $805.78	Professional		$330.89	$455.14	$805.78