Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.79 / $3,839.00 / $8,113.00	Facility		$118.79	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $111.69 / $145.83	Professional		$101.67	$111.69	$145.83
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 $111.91 / $116.14 / $254.38	Professional		$111.91	$116.14	$254.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $526.00 / $2,269.00	Facility		$127.87	$526.00	$2,269.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $142.53 / $240.01	Professional		$104.34	$142.53	$240.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $249.80 / $249.80 / $249.80	Facility		$249.80	$249.80	$249.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.65 / $170.85 / $223.27	Professional		$134.65	$170.85	$223.27
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 $103.44 / $127.40 / $620.55	Professional		$103.44	$127.40	$620.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $137.19 / $137.19	Facility		$137.19	$137.19	$137.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $182.60 / $277.50	Professional		$137.19	$182.60	$277.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $526.00 / $2,269.00	Facility		$127.87	$526.00	$2,269.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.16 / $142.16 / $238.29	Professional		$107.16	$142.16	$238.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $109.81 / $109.81 / $136.47	Facility		$109.81	$109.81	$136.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $111.98 / $136.47	Professional		$104.85	$111.98	$136.47
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 $101.11 / $134.07 / $229.70	Professional		$101.11	$134.07	$229.70