Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.05 / $2,240.00 / $7,629.00	Facility		$382.05	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.61 / $260.92 / $436.51	Professional		$184.61	$260.92	$436.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $4,396.00 / $8,639.91	Facility		$2,800.00	$4,396.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $345.45 / $358.49 / $358.49	Professional		$345.45	$358.49	$358.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.92 / $526.00 / $2,109.00	Facility		$357.92	$526.00	$2,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.51 / $319.02 / $554.10	Professional		$191.51	$319.02	$554.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $460.43 / $460.43 / $460.43	Facility		$460.43	$460.43	$460.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $417.87 / $561.69 / $712.89	Professional		$417.87	$561.69	$712.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $7,799.00	Facility		$641.00	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $187.97 / $327.87 / $1,208.84	Professional		$187.97	$327.87	$1,208.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $245.10 / $245.10 / $245.10	Facility		$245.10	$245.10	$245.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $314.70 / $953.60	Professional		$5.00	$314.70	$953.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $341.74 / $500.00 / $2,151.00	Facility		$341.74	$500.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $193.31 / $319.02 / $555.41	Professional		$193.31	$319.02	$555.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $126.05 / $195.72 / $343.68	Facility		$126.05	$195.72	$343.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.56 / $251.13 / $371.35	Professional		$190.56	$251.13	$371.35
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 $248.75 / $368.30 / $613.58	Professional		$248.75	$368.30	$613.58