Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.06 / $2,070.00 / $7,629.00	Facility		$441.06	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.21 / $368.56 / $505.07	Professional		$203.21	$368.56	$505.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $405.81 / $405.81	Professional		$391.06	$405.81	$405.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $699.87 / $1,392.35	Facility		$343.00	$699.87	$1,392.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.80 / $383.54 / $732.43	Professional		$214.80	$383.54	$732.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $458.77 / $458.77 / $458.77	Facility		$458.77	$458.77	$458.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $470.61 / $668.13	Professional		$380.00	$470.61	$668.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,266.00 / $7,799.00	Facility		$617.00	$2,266.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $206.38 / $406.88 / $1,211.00	Professional		$206.38	$406.88	$1,211.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $415.40 / $415.40 / $415.40	Facility		$415.40	$415.40	$415.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $458.90 / $1,097.20	Professional		$274.27	$458.90	$1,097.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $694.37 / $1,392.35	Facility		$343.00	$694.37	$1,392.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $386.64 / $725.05	Professional		$220.00	$386.64	$725.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $203.16 / $209.92 / $391.92	Facility		$203.16	$209.92	$391.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $203.16 / $378.96 / $420.40	Professional		$203.16	$378.96	$420.40
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 $350.47 / $485.31 / $778.05	Professional		$350.47	$485.31	$778.05