Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.42 / $2,070.00 / $7,629.00	Facility		$446.42	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.26 / $336.91 / $503.99	Professional		$259.26	$336.91	$503.99
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 $391.24 / $406.00 / $406.00	Professional		$391.24	$406.00	$406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $462.28 / $872.22	Facility		$343.00	$462.28	$872.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.57 / $387.55 / $651.79	Professional		$262.57	$387.55	$651.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $611.54 / $611.54 / $611.54	Facility		$611.54	$611.54	$611.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $473.88 / $627.63 / $801.92	Professional		$473.88	$627.63	$801.92
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 $265.17 / $408.36 / $1,476.12	Professional		$265.17	$408.36	$1,476.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $233.90 / $233.90 / $233.90	Facility		$233.90	$233.90	$233.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $283.10 / $1,121.30	Professional		$5.00	$283.10	$1,121.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $455.09 / $1,113.00	Facility		$343.00	$455.09	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $388.69 / $651.79	Professional		$264.64	$388.69	$651.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $194.18 / $269.77 / $397.19	Facility		$194.18	$269.77	$397.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $239.85 / $288.69 / $428.94	Professional		$239.85	$288.69	$428.94
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 $276.51 / $429.45 / $748.31	Professional		$276.51	$429.45	$748.31