Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $2,747.00 / $8,017.00	Facility		$760.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $156.50 / $196.39	Professional		$143.13	$156.50	$196.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $151.41 / $217.36 / $295.37	Professional		$151.41	$217.36	$295.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $1,605.62 / $3,163.65	Facility		$491.00	$1,605.62	$3,163.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $208.48 / $337.82	Professional		$149.97	$208.48	$337.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $333.33 / $333.33 / $333.33	Facility		$333.33	$333.33	$333.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.84 / $232.66 / $297.27	Professional		$175.84	$232.66	$297.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $3,077.00 / $8,017.00	Facility		$918.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $175.57 / $1,426.00	Professional		$143.13	$175.57	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $307.10 / $382.20	Professional		$4.00	$307.10	$382.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $172.15 / $1,593.02 / $3,010.39	Facility		$172.15	$1,593.02	$3,010.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $206.80 / $333.22	Professional		$150.94	$206.80	$333.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $177.11	Facility		$150.00	$150.00	$177.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $150.96 / $177.11	Professional		$145.22	$150.96	$177.11
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,734.00 / $4,300.00	Facility		$550.00	$1,734.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $188.28 / $304.49	Professional		$136.19	$188.28	$304.49