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 $242.14 / $258.47 / $330.24	Professional		$242.14	$258.47	$330.24
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 $256.79 / $371.31 / $492.44	Professional		$256.79	$371.31	$492.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $2,656.00 / $7,463.23	Facility		$491.00	$2,656.00	$7,463.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.99 / $335.16 / $548.29	Professional		$248.99	$335.16	$548.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $566.17 / $566.17 / $566.17	Facility		$566.17	$566.17	$566.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $394.56 / $504.12	Professional		$298.36	$394.56	$504.12
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 $242.14 / $300.17 / $1,534.84	Professional		$242.14	$300.17	$1,534.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $395.35 / $649.60	Professional		$4.00	$395.35	$649.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $293.63 / $2,109.00 / $7,101.69	Facility		$293.63	$2,109.00	$7,101.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $248.99 / $330.89 / $548.29	Professional		$248.99	$330.89	$548.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $252.67 / $252.67 / $303.97	Facility		$252.67	$252.67	$303.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $245.04 / $253.87 / $303.97	Professional		$245.04	$253.87	$303.97
United Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $2,533.00 / $18,959.47	Facility		$585.00	$2,533.00	$18,959.47
United Facility/Professional Professional Modifier Low / Median / High Price $234.36 / $306.77 / $519.46	Professional		$234.36	$306.77	$519.46