Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,747.00 / $8,017.00	Facility		$540.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.50 / $304.55 / $397.97	Professional		$245.50	$304.55	$397.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $323.68 / $335.90 / $335.90	Professional		$323.68	$335.90	$335.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.72 / $1,865.00 / $8,051.32	Facility		$437.72	$1,865.00	$8,051.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.77 / $356.95 / $594.63	Professional		$255.77	$356.95	$594.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $577.91 / $577.91 / $577.91	Facility		$577.91	$577.91	$577.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $387.31 / $513.82 / $656.50	Professional		$387.31	$513.82	$656.50
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 $251.10 / $335.90 / $1,435.00	Professional		$251.10	$335.90	$1,435.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $356.00 / $356.00 / $356.00	Facility		$356.00	$356.00	$356.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $424.80 / $870.50	Professional		$5.00	$424.80	$870.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $437.72 / $1,403.00 / $7,661.29	Facility		$437.72	$1,403.00	$7,661.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $259.13 / $356.89 / $600.13	Professional		$259.13	$356.89	$600.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $253.31 / $269.08 / $329.43	Facility		$253.31	$269.08	$329.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $253.31 / $316.43 / $345.13	Professional		$253.31	$316.43	$345.13
United Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $2,715.00 / $4,815.00	Facility		$851.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.08 / $374.66 / $650.65	Professional		$285.08	$374.66	$650.65