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 $213.67 / $238.63 / $291.75	Professional		$213.67	$238.63	$291.75
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 $228.05 / $236.65 / $436.05	Professional		$228.05	$236.65	$436.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $752.96 / $2,109.00	Facility		$491.00	$752.96	$2,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.29 / $290.44 / $509.20	Professional		$212.29	$290.44	$509.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $503.29 / $503.29 / $503.29	Facility		$503.29	$503.29	$503.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $265.39 / $351.11 / $448.61	Professional		$265.39	$351.11	$448.61
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 $214.72 / $268.57 / $1,358.69	Professional		$214.72	$268.57	$1,358.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $351.11 / $573.60	Professional		$4.00	$351.11	$573.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $259.94 / $729.17 / $2,656.00	Facility		$259.94	$729.17	$2,656.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $215.14 / $289.36 / $484.63	Professional		$215.14	$289.36	$484.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $223.33 / $223.33 / $268.91	Facility		$223.33	$223.33	$268.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $216.70 / $224.29 / $268.91	Professional		$216.70	$224.29	$268.91
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 $206.13 / $281.64 / $449.46	Professional		$206.13	$281.64	$449.46