Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.98 / $3,839.00 / $8,113.00	Facility		$256.98	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.84 / $241.55 / $314.50	Professional		$220.84	$241.55	$314.50
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 $241.47 / $250.58 / $250.58	Professional		$241.47	$250.58	$250.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $526.00 / $2,269.00	Facility		$276.41	$526.00	$2,269.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.86 / $307.52 / $521.66	Professional		$228.86	$307.52	$521.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $539.32 / $539.32 / $539.32	Facility		$539.32	$539.32	$539.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $291.02 / $368.49 / $481.31	Professional		$291.02	$368.49	$481.31
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 $220.84 / $263.23 / $1,245.84	Professional		$220.84	$263.23	$1,245.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $276.39 / $276.39 / $276.39	Facility		$276.39	$276.39	$276.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $276.39 / $372.00 / $599.60	Professional		$276.39	$372.00	$599.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $526.00 / $2,269.00	Facility		$276.41	$526.00	$2,269.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $231.73 / $307.27 / $513.63	Professional		$231.73	$307.27	$513.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $236.70 / $236.70 / $294.01	Facility		$236.70	$236.70	$294.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $225.88 / $241.49 / $294.01	Professional		$225.88	$241.49	$294.01
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 $216.06 / $289.63 / $496.37	Professional		$216.06	$289.63	$496.37