Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $7,799.00	Facility		$617.00	$2,371.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $108.53 / $135.16	Professional		$99.23	$108.53	$135.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,772.00 / $2,838.15 / $8,459.92	Facility		$1,772.00	$2,838.15	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $92.45 / $108.77 / $172.30	Professional		$92.45	$108.77	$172.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $719.77 / $1,418.21	Facility		$320.00	$719.77	$1,418.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.07 / $137.94 / $233.96	Professional		$102.07	$137.94	$233.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $230.27 / $230.27 / $230.27	Facility		$230.27	$230.27	$230.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.55 / $131.63 / $172.42	Professional		$106.55	$131.63	$172.42
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 $99.23 / $125.72 / $1,200.00	Professional		$99.23	$125.72	$1,200.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $144.90 / $144.90 / $144.90	Facility		$144.90	$144.90	$144.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $172.90 / $264.60	Professional		$5.00	$172.90	$264.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $120.58 / $714.12 / $1,404.00	Facility		$120.58	$714.12	$1,404.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $103.83 / $136.74 / $233.96	Professional		$103.83	$136.74	$233.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $103.31 / $103.31 / $125.46	Facility		$103.31	$103.31	$125.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.11 / $103.90 / $125.46	Professional		$100.11	$103.90	$125.46
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $132.16 / $213.55	Professional		$98.72	$132.16	$213.55