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 $211.77 / $236.49 / $291.27	Professional		$211.77	$236.49	$291.27
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 $226.04 / $234.58 / $432.24	Professional		$226.04	$234.58	$432.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $958.00 / $2,109.00	Facility		$491.00	$958.00	$2,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.14 / $287.89 / $504.66	Professional		$210.14	$287.89	$504.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $498.94 / $498.94 / $498.94	Facility		$498.94	$498.94	$498.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.14 / $348.18 / $444.87	Professional		$263.14	$348.18	$444.87
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 $212.57 / $268.57 / $1,345.94	Professional		$212.57	$268.57	$1,345.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $348.02 / $568.60	Professional		$4.00	$348.02	$568.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $942.93 / $2,656.00	Facility		$257.64	$942.93	$2,656.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $213.25 / $286.79 / $480.32	Professional		$213.25	$286.79	$480.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $221.34 / $221.34 / $266.20	Facility		$221.34	$221.34	$266.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $214.75 / $222.31 / $266.20	Professional		$214.75	$222.31	$266.20
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 $204.08 / $277.18 / $454.84	Professional		$204.08	$277.18	$454.84