Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.31 / $2,747.00 / $8,017.00	Facility		$492.31	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.16 / $427.83 / $592.75	Professional		$317.16	$427.83	$592.75
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 $439.84 / $456.43 / $631.24	Professional		$439.84	$456.43	$631.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.00 / $1,865.00 / $8,051.32	Facility		$489.00	$1,865.00	$8,051.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.82 / $477.17 / $822.39	Professional		$324.82	$477.17	$822.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $730.09 / $730.09 / $730.09	Facility		$730.09	$730.09	$730.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $526.67 / $697.38 / $891.04	Professional		$526.67	$697.38	$891.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,077.00 / $8,017.00	Facility		$934.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $327.43 / $474.28 / $1,539.00	Professional		$327.43	$474.28	$1,539.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $404.50 / $404.50 / $404.50	Facility		$404.50	$404.50	$404.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $539.00 / $1,219.20	Professional		$5.00	$539.00	$1,219.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $1,403.00 / $7,661.29	Facility		$460.00	$1,403.00	$7,661.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $331.39 / $477.18 / $838.70	Professional		$331.39	$477.18	$838.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $320.95 / $321.72 / $441.10	Facility		$320.95	$321.72	$441.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $320.52 / $384.07 / $472.14	Professional		$320.52	$384.07	$472.14
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 $366.11 / $509.05 / $878.16	Professional		$366.11	$509.05	$878.16