Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.87 / $3,839.00 / $8,113.00	Facility		$405.87	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.26 / $382.10 / $494.80	Professional		$350.26	$382.10	$494.80
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 $380.37 / $394.72 / $720.92	Professional		$380.37	$394.72	$720.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.58 / $560.00 / $2,151.00	Facility		$434.58	$560.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.34 / $485.19 / $814.37	Professional		$358.34	$485.19	$814.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $849.26 / $849.26 / $849.26	Facility		$849.26	$849.26	$849.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $458.03 / $580.54 / $758.50	Professional		$458.03	$580.54	$758.50
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 $350.26 / $410.11 / $1,964.01	Professional		$350.26	$410.11	$1,964.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $405.90 / $405.90 / $405.90	Facility		$405.90	$405.90	$405.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $405.90 / $457.60 / $946.80	Professional		$405.90	$457.60	$946.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $434.58 / $560.00 / $2,151.00	Facility		$434.58	$560.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $360.75 / $484.44 / $814.37	Professional		$360.75	$484.44	$814.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $372.52 / $372.52 / $419.10	Facility		$372.52	$372.52	$419.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $355.63 / $379.93 / $419.10	Professional		$355.63	$379.93	$419.10
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 $340.46 / $455.86 / $782.64	Professional		$340.46	$455.86	$782.64