Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.80 / $1,819.00 / $7,197.00	Facility		$169.80	$1,819.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.18 / $159.61 / $208.26	Professional		$124.18	$159.61	$208.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $167.40 / $173.71 / $173.71	Professional		$167.40	$173.71	$173.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $446.00 / $816.23	Facility		$320.00	$446.00	$816.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $189.09 / $311.82	Professional		$128.38	$189.09	$311.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $304.00 / $304.00 / $304.00	Facility		$304.00	$304.00	$304.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $200.70 / $265.60 / $339.36	Professional		$200.70	$265.60	$339.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $2,070.00 / $7,799.00	Facility		$536.00	$2,070.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $127.24 / $179.59 / $833.80	Professional		$127.24	$179.59	$833.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $162.19 / $162.19 / $162.19	Facility		$162.19	$162.19	$162.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $191.10 / $457.00	Professional		$5.00	$191.10	$457.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $226.65 / $432.61 / $1,113.00	Facility		$226.65	$432.61	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $129.49 / $189.22 / $331.62	Professional		$129.49	$189.22	$331.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $123.74 / $131.85 / $166.95	Facility		$123.74	$131.85	$166.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $129.09 / $141.06 / $179.02	Professional		$129.09	$141.06	$179.02
United Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $541.00 / $3,742.00	Facility		$80.00	$541.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.86 / $191.99 / $329.65	Professional		$141.86	$191.99	$329.65