Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,422.00 / $7,799.00	Facility		$617.00	$2,422.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.60 / $336.26 / $425.11	Professional		$308.60	$336.26	$425.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $331.98 / $344.51 / $558.79	Professional		$331.98	$344.51	$558.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $1,113.00 / $3,058.69	Facility		$343.00	$1,113.00	$3,058.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.38 / $422.81 / $668.80	Professional		$321.38	$422.81	$668.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $740.50 / $740.50 / $740.50	Facility		$740.50	$740.50	$740.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $391.87 / $519.49 / $664.20	Professional		$391.87	$519.49	$664.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,371.00 / $8,017.00	Facility		$657.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $308.60 / $388.65 / $1,744.99	Professional		$308.60	$388.65	$1,744.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $423.90 / $423.90 / $423.90	Facility		$423.90	$423.90	$423.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $507.10 / $839.10	Professional		$5.00	$507.10	$839.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $795.00 / $2,910.52	Facility		$343.00	$795.00	$2,910.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $321.38 / $419.73 / $708.50	Professional		$321.38	$419.73	$708.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $325.58 / $325.58 / $410.33	Facility		$325.58	$325.58	$410.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $316.04 / $326.81 / $410.33	Professional		$316.04	$326.81	$410.33
United Facility/Professional Facility Modifier Low / Median / High Price $528.00 / $1,728.00 / $4,300.00	Facility		$528.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.27 / $386.30 / $646.76	Professional		$293.27	$386.30	$646.76