Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.96 / $2,747.00 / $8,017.00	Facility		$568.96	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.42 / $440.55 / $648.67	Professional		$333.42	$440.55	$648.67
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 $455.46 / $535.83 / $535.83	Professional		$455.46	$535.83	$535.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $616.29 / $2,109.00	Facility		$500.00	$616.29	$2,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.42 / $487.74 / $840.05	Professional		$338.42	$487.74	$840.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $837.46 / $837.46 / $837.46	Facility		$837.46	$837.46	$837.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $623.63 / $837.48 / $1,065.45	Professional		$623.63	$837.48	$1,065.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,120.00 / $8,017.00	Facility		$934.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $335.02 / $502.03 / $1,871.40	Professional		$335.02	$502.03	$1,871.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $327.70 / $327.70 / $327.70	Facility		$327.70	$327.70	$327.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $412.30 / $1,417.40	Professional		$5.00	$412.30	$1,417.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $588.86 / $2,151.00	Facility		$500.00	$588.86	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $338.42 / $487.74 / $845.40	Professional		$338.42	$487.74	$845.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $250.43 / $355.10 / $511.92	Facility		$250.43	$355.10	$511.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $253.31 / $379.97 / $552.59	Professional		$253.31	$379.97	$552.59
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.45 / $550.87 / $935.39	Professional		$357.45	$550.87	$935.39