Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.23 / $3,839.00 / $8,113.00	Facility		$219.23	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.22 / $215.99 / $319.77	Professional		$196.22	$215.99	$319.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $209.70 / $217.61 / $340.77	Professional		$209.70	$217.61	$340.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $575.00 / $2,151.00	Facility		$238.55	$575.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.97 / $273.47 / $465.26	Professional		$201.97	$273.47	$465.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $463.07 / $463.07 / $463.07	Facility		$463.07	$463.07	$463.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $244.31 / $323.33 / $413.12	Professional		$244.31	$323.33	$413.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $196.22 / $234.28 / $1,120.30	Professional		$196.22	$234.28	$1,120.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $245.40 / $245.40 / $245.40	Facility		$245.40	$245.40	$245.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $291.70 / $526.90	Professional		$6.00	$291.70	$526.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $575.00 / $2,151.00	Facility		$238.55	$575.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $202.35 / $272.75 / $465.26	Professional		$202.35	$272.75	$465.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $205.17 / $205.17 / $218.93	Facility		$205.17	$205.17	$218.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.04 / $206.09 / $218.93	Professional		$199.04	$206.09	$218.93
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.67 / $256.12 / $413.93	Professional		$190.67	$256.12	$413.93