Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $2,070.00 / $7,629.00	Facility		$227.29	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $147.83 / $249.94	Professional		$78.04	$147.83	$249.94
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,404.00 / $4,396.00 / $8,639.91	Facility		$2,404.00	$4,396.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $202.91 / $337.90	Professional		$172.47	$202.91	$337.90
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 $77.44 / $164.71 / $347.47	Professional		$77.44	$164.71	$347.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.79 / $190.79 / $190.79	Facility		$190.79	$190.79	$190.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $240.79 / $320.87 / $402.47	Professional		$240.79	$320.87	$402.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,266.00 / $7,799.00	Facility		$617.00	$2,266.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $78.40 / $194.16 / $818.00	Professional		$78.40	$194.16	$818.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $106.80 / $106.80 / $106.80	Facility		$106.80	$106.80	$106.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.80 / $179.60 / $498.00	Professional		$106.80	$179.60	$498.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $795.00 / $3,671.23	Facility		$143.87	$795.00	$3,671.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $164.80 / $341.58	Professional		$79.81	$164.80	$341.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $77.37 / $82.31 / $198.66	Facility		$77.37	$82.31	$198.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $144.58 / $215.01	Professional		$79.02	$144.58	$215.01
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,631.00 / $3,742.00	Facility		$553.00	$1,631.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $207.87 / $356.89	Professional		$144.22	$207.87	$356.89