Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,422.00 / $7,799.00	Facility		$617.00	$2,422.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $55.31 / $65.55	Professional		$50.31	$55.31	$65.55
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 $43.44 / $51.10 / $51.10	Professional		$43.44	$51.10	$51.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $932.58 / $1,852.05	Facility		$320.00	$932.58	$1,852.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $70.13 / $133.78	Professional		$51.38	$70.13	$133.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $266.14 / $266.14 / $266.14	Facility		$266.14	$266.14	$266.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.07 / $171.61 / $275.02	Professional		$114.07	$171.61	$275.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,371.00 / $7,799.00	Facility		$657.00	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.98 / $59.03 / $1,541.00	Professional		$50.98	$59.03	$1,541.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $100.00 / $109.50	Professional		$5.00	$100.00	$109.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $795.00 / $1,762.33	Facility		$62.14	$795.00	$1,762.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $69.95 / $149.99	Professional		$51.56	$69.95	$149.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $344.29 / $344.29 / $344.29	Facility		$344.29	$344.29	$344.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $344.29 / $344.29 / $344.29	Professional		$344.29	$344.29	$344.29
United Facility/Professional Facility Modifier Low / Median / High Price $528.00 / $1,728.00 / $4,300.00	Facility		$528.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $63.97 / $105.70	Professional		$47.29	$63.97	$105.70