Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,747.00 / $8,017.00	Facility		$832.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.23 / $372.28 / $480.47	Professional		$329.23	$372.28	$480.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $376.66 / $390.87 / $390.87	Professional		$376.66	$390.87	$390.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $1,865.00 / $3,858.13	Facility		$429.00	$1,865.00	$3,858.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.18 / $446.80 / $765.24	Professional		$310.18	$446.80	$765.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $853.73 / $853.73 / $853.73	Facility		$853.73	$853.73	$853.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $457.52 / $594.94 / $761.24	Professional		$457.52	$594.94	$761.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,077.00 / $8,017.00	Facility		$934.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $338.86 / $430.14 / $1,933.34	Professional		$338.86	$430.14	$1,933.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $452.00 / $452.00 / $452.00	Facility		$452.00	$452.00	$452.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $542.79 / $960.80	Professional		$5.00	$542.79	$960.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $425.93 / $1,403.00 / $3,671.23	Facility		$425.93	$1,403.00	$3,671.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $320.35 / $446.59 / $765.24	Professional		$320.35	$446.59	$765.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $298.05 / $365.83 / $410.86	Facility		$298.05	$365.83	$410.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $353.00 / $369.19 / $410.49	Professional		$353.00	$369.19	$410.49
United Facility/Professional Facility Modifier Low / Median / High Price $863.00 / $2,491.00 / $4,300.00	Facility		$863.00	$2,491.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.49 / $415.20 / $705.78	Professional		$307.49	$415.20	$705.78