Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,747.00 / $8,017.00	Facility		$832.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.19 / $369.80 / $450.72	Professional		$331.19	$369.80	$450.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $351.22 / $364.47 / $364.47	Professional		$351.22	$364.47	$364.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $1,235.59 / $2,434.58	Facility		$429.00	$1,235.59	$2,434.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.36 / $471.77 / $788.38	Professional		$340.36	$471.77	$788.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $773.89 / $773.89 / $773.89	Facility		$773.89	$773.89	$773.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.93 / $539.49 / $689.30	Professional		$407.93	$539.49	$689.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,077.00 / $8,017.00	Facility		$934.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $331.19 / $412.51 / $1,883.04	Professional		$331.19	$412.51	$1,883.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $438.50 / $438.50 / $438.50	Facility		$438.50	$438.50	$438.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $438.50 / $579.85 / $887.00	Professional		$438.50	$579.85	$887.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $401.58 / $1,225.90 / $2,316.65	Facility		$401.58	$1,225.90	$2,316.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $340.71 / $467.02 / $790.76	Professional		$340.71	$467.02	$790.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $344.78 / $344.78 / $447.85	Facility		$344.78	$344.78	$447.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $334.32 / $346.49 / $447.85	Professional		$334.32	$346.49	$447.85
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 $327.27 / $443.36 / $717.96	Professional		$327.27	$443.36	$717.96