Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.12 / $3,627.00 / $7,799.00	Facility		$242.12	$3,627.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $196.65 / $273.38	Professional		$148.69	$196.65	$273.38
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 $219.17 / $227.44 / $227.44	Professional		$219.17	$227.44	$227.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $2,019.00 / $8,051.32	Facility		$491.00	$2,019.00	$8,051.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.25 / $226.69 / $375.05	Professional		$156.25	$226.69	$375.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $362.38 / $362.38 / $362.38	Facility		$362.38	$362.38	$362.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.62 / $349.06 / $445.99	Professional		$263.62	$349.06	$445.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $223.17 / $1,010.69	Professional		$154.59	$223.17	$1,010.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $176.90 / $176.90 / $176.90	Facility		$176.90	$176.90	$176.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.90 / $209.20 / $603.29	Professional		$176.90	$209.20	$603.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $270.70 / $1,657.00 / $7,661.29	Facility		$270.70	$1,657.00	$7,661.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $227.44 / $375.23	Professional		$156.88	$227.44	$375.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $111.60 / $156.71 / $218.37	Facility		$111.60	$156.71	$218.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $166.64 / $234.50	Professional		$148.43	$166.64	$234.50
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 $161.19 / $247.27 / $443.82	Professional		$161.19	$247.27	$443.82