Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.95 / $4,761.00 / $10,398.00	Facility		$407.95	$4,761.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.87 / $283.39 / $464.64	Professional		$198.87	$283.39	$464.64
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 $362.54 / $376.22 / $376.22	Professional		$362.54	$376.22	$376.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $1,993.85 / $4,168.59	Facility		$950.00	$1,993.85	$4,168.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.43 / $327.78 / $581.17	Professional		$214.43	$327.78	$581.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $493.96 / $493.96 / $493.96	Facility		$493.96	$493.96	$493.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $437.39 / $585.23 / $747.74	Professional		$437.39	$585.23	$747.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,278.00 / $5,511.00 / $11,083.00	Facility		$1,278.00	$5,511.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $208.18 / $362.12 / $1,345.94	Professional		$208.18	$362.12	$1,345.94
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $270.70 / $270.70 / $270.70	Facility		$270.70	$270.70	$270.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $313.80 / $890.80	Professional		$5.00	$313.80	$890.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $367.72 / $1,978.20 / $4,198.00	Facility		$367.72	$1,978.20	$4,198.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $215.31 / $335.11 / $577.04	Professional		$215.31	$335.11	$577.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $204.46 / $211.77 / $366.38	Facility		$204.46	$211.77	$366.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $206.81 / $225.42 / $395.60	Professional		$206.81	$225.42	$395.60
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 $265.43 / $379.64 / $640.84	Professional		$265.43	$379.64	$640.84