Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.26 / $2,070.00 / $7,629.00	Facility		$251.26	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.09 / $216.79 / $290.39	Professional		$138.09	$216.79	$290.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $217.88 / $226.10 / $226.10	Professional		$217.88	$226.10	$226.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.89 / $356.00 / $795.00	Facility		$230.89	$356.00	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.02 / $239.27 / $423.69	Professional		$149.02	$239.27	$423.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $313.45 / $313.45 / $313.45	Facility		$313.45	$313.45	$313.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.05 / $348.57 / $445.37	Professional		$263.05	$348.57	$445.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,326.00 / $7,799.00	Facility		$617.00	$2,326.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $140.61 / $237.98 / $767.62	Professional		$140.61	$237.98	$767.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $211.80 / $211.80	Facility		$211.80	$211.80	$211.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $233.70 / $626.50	Professional		$5.00	$233.70	$626.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $223.59 / $343.00 / $1,113.00	Facility		$223.59	$343.00	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $244.48 / $425.12	Professional		$151.91	$244.48	$425.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $165.85 / $225.61	Facility		$139.91	$165.85	$225.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $221.83 / $242.92	Professional		$139.69	$221.83	$242.92
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 $196.61 / $263.97 / $456.69	Professional		$196.61	$263.97	$456.69