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 $326.08 / $366.48 / $471.37	Professional		$326.08	$366.48	$471.37
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 $369.10 / $383.03 / $665.44	Professional		$369.10	$383.03	$665.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $1,113.00 / $5,401.85	Facility		$343.00	$1,113.00	$5,401.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.64 / $435.33 / $754.39	Professional		$288.64	$435.33	$754.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $839.22 / $839.22 / $839.22	Facility		$839.22	$839.22	$839.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $449.07 / $587.22 / $748.17	Professional		$449.07	$587.22	$748.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,371.00 / $7,799.00	Facility		$657.00	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $330.95 / $422.00 / $1,911.17	Professional		$330.95	$422.00	$1,911.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $315.50 / $315.50 / $315.50	Facility		$315.50	$315.50	$315.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $427.80 / $954.60	Professional		$3.00	$427.80	$954.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $795.00 / $5,140.17	Facility		$343.00	$795.00	$5,140.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $288.64 / $434.40 / $754.39	Professional		$288.64	$434.40	$754.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $252.42 / $275.20 / $359.78	Facility		$252.42	$275.20	$359.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $252.42 / $359.78 / $382.89	Professional		$252.42	$359.78	$382.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,265.00 / $3,331.00 / $6,000.00	Facility		$1,265.00	$3,331.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.64 / $406.19 / $705.70	Professional		$289.64	$406.19	$705.70