Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,748.00 / $8,017.00	Facility		$832.00	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $193.53 / $291.62	Professional		$174.74	$193.53	$291.62
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 $195.17 / $202.53 / $297.76	Professional		$195.17	$202.53	$297.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $1,978.20 / $3,928.61	Facility		$491.00	$1,978.20	$3,928.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $241.46 / $388.53	Professional		$177.51	$241.46	$388.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $442.16 / $442.16 / $442.16	Facility		$442.16	$442.16	$442.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $233.79 / $310.23 / $396.38	Professional		$233.79	$310.23	$396.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $233.54 / $1,544.00	Professional		$178.43	$233.54	$1,544.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $230.10 / $230.10 / $230.10	Facility		$230.10	$230.10	$230.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $272.89 / $500.00	Professional		$5.00	$272.89	$500.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $1,657.00 / $3,738.29	Facility		$221.71	$1,657.00	$3,738.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $184.12 / $241.64 / $394.84	Professional		$184.12	$241.64	$394.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $190.19 / $190.19 / $193.17	Facility		$190.19	$190.19	$193.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $185.73 / $190.19 / $202.64	Professional		$185.73	$190.19	$202.64
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 $166.57 / $216.32 / $357.08	Professional		$166.57	$216.32	$357.08