Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.93 / $3,839.00 / $8,113.00	Facility		$368.93	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.77 / $368.93 / $700.00	Professional		$322.77	$368.93	$700.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $374.25 / $440.29 / $721.83	Professional		$374.25	$440.29	$721.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.44 / $560.00 / $2,151.00	Facility		$408.44	$560.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.92 / $446.65 / $767.74	Professional		$317.92	$446.65	$767.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $658.56 / $658.56 / $658.56	Facility		$658.56	$658.56	$658.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $369.10 / $475.96 / $700.22	Professional		$369.10	$475.96	$700.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $4,761.00 / $8,247.00	Facility		$760.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $322.77 / $390.00 / $856.00	Professional		$322.77	$390.00	$856.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $398.10 / $398.10 / $398.10	Facility		$398.10	$398.10	$398.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.10 / $398.10 / $436.00	Professional		$398.10	$398.10	$436.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $408.44 / $560.00 / $2,151.00	Facility		$408.44	$560.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $340.12 / $442.16 / $711.51	Professional		$340.12	$442.16	$711.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $348.75 / $414.85 / $414.85	Facility		$348.75	$414.85	$414.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $286.80 / $406.27 / $414.85	Professional		$286.80	$406.27	$414.85
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.45 / $452.65 / $759.18	Professional		$325.45	$452.65	$759.18