Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.49 / $2,240.00 / $7,799.00	Facility		$237.49	$2,240.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $162.75 / $263.41	Professional		$93.54	$162.75	$263.41
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 $205.17 / $212.92 / $267.24	Professional		$205.17	$212.92	$267.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $1,113.00 / $3,858.13	Facility		$320.00	$1,113.00	$3,858.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $186.87 / $353.88	Professional		$88.13	$186.87	$353.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $226.30 / $226.30 / $226.30	Facility		$226.30	$226.30	$226.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $251.85 / $354.54	Professional		$133.00	$251.85	$354.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,326.00 / $7,799.00	Facility		$617.00	$2,326.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $99.51 / $203.50 / $777.26	Professional		$99.51	$203.50	$777.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $140.50 / $140.50 / $140.50	Facility		$140.50	$140.50	$140.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $226.90 / $542.29	Professional		$140.50	$226.90	$542.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $171.25 / $795.00 / $3,671.23	Facility		$171.25	$795.00	$3,671.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $94.91 / $188.20 / $353.22	Professional		$94.91	$188.20	$353.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.48 / $104.41 / $208.14	Facility		$97.48	$104.41	$208.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $161.16 / $224.58	Professional		$97.48	$161.16	$224.58
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.09 / $218.00 / $368.46	Professional		$154.09	$218.00	$368.46