Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.91 / $2,070.00 / $7,629.00	Facility		$340.91	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $240.18 / $382.72	Professional		$166.40	$240.18	$382.72
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 $291.63 / $302.63 / $302.63	Professional		$291.63	$302.63	$302.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $446.00 / $795.00	Facility		$320.00	$446.00	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.09 / $275.12 / $478.80	Professional		$171.09	$275.12	$478.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $434.20 / $434.20 / $434.20	Facility		$434.20	$434.20	$434.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.94 / $473.44 / $604.91	Professional		$354.94	$473.44	$604.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,326.00 / $7,799.00	Facility		$617.00	$2,326.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $182.25 / $289.82 / $1,028.52	Professional		$182.25	$289.82	$1,028.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $133.30 / $133.30 / $133.30	Facility		$133.30	$133.30	$133.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $152.10 / $863.40	Professional		$5.00	$152.10	$863.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $314.44 / $388.48 / $1,113.00	Facility		$314.44	$388.48	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $174.46 / $276.26 / $478.80	Professional		$174.46	$276.26	$478.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $120.57 / $190.09 / $299.48	Facility		$120.57	$190.09	$299.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.32 / $205.28 / $325.69	Professional		$145.32	$205.28	$325.69
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.66 / $304.95 / $524.54	Professional		$193.66	$304.95	$524.54