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 $255.11 / $285.04 / $359.85	Professional		$255.11	$285.04	$359.85
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 $270.77 / $281.00 / $518.74	Professional		$270.77	$281.00	$518.74
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 $233.43 / $340.00 / $606.20	Professional		$233.43	$340.00	$606.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $597.11 / $597.11 / $597.11	Facility		$597.11	$597.11	$597.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $314.77 / $416.33 / $531.94	Professional		$314.77	$416.33	$531.94
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 $255.11 / $356.35 / $1,541.00	Professional		$255.11	$356.35	$1,541.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $416.89 / $684.10	Professional		$4.00	$416.89	$684.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $308.95 / $942.93 / $2,656.00	Facility		$308.95	$942.93	$2,656.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $249.82 / $332.09 / $576.96	Professional		$249.82	$332.09	$576.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $265.88 / $265.88 / $318.75	Facility		$265.88	$265.88	$318.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $257.83 / $267.16 / $318.75	Professional		$257.83	$267.16	$318.75
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 $243.87 / $332.32 / $546.10	Professional		$243.87	$332.32	$546.10