Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,703.00 / $8,427.00	Facility		$641.00	$2,703.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.03 / $247.11 / $292.63	Professional		$223.03	$247.11	$292.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $233.67 / $274.91 / $274.91	Professional		$233.67	$274.91	$274.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $1,113.00 / $3,848.41	Facility		$320.00	$1,113.00	$3,848.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.04 / $310.29 / $484.96	Professional		$227.04	$310.29	$484.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,182.89 / $1,182.89 / $1,182.89	Facility		$1,182.89	$1,182.89	$1,182.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $506.95 / $762.68 / $1,222.32	Professional		$506.95	$762.68	$1,222.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,422.00 / $8,017.00	Facility		$657.00	$2,422.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $226.23 / $266.13 / $1,426.00	Professional		$226.23	$266.13	$1,426.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $502.00 / $502.00 / $502.00	Facility		$502.00	$502.00	$502.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $502.00 / $549.70	Professional		$5.00	$502.00	$549.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $795.00 / $3,661.98	Facility		$277.02	$795.00	$3,661.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $229.85 / $310.29 / $500.56	Professional		$229.85	$310.29	$500.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $249.92 / $249.92 / $273.55	Facility		$249.92	$249.92	$273.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $249.92 / $273.55 / $273.55	Professional		$249.92	$273.55	$273.55
United Facility/Professional Facility Modifier Low / Median / High Price $863.00 / $2,491.00 / $4,300.00	Facility		$863.00	$2,491.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.28 / $277.14 / $465.80	Professional		$212.28	$277.14	$465.80