Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.03 / $2,070.00 / $7,629.00	Facility		$234.03	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.81 / $156.19 / $260.27	Professional		$85.81	$156.19	$260.27
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 $178.30 / $209.76 / $348.62	Professional		$178.30	$209.76	$348.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $897.93 / $1,783.25	Facility		$320.00	$897.93	$1,783.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.54 / $189.51 / $360.40	Professional		$94.54	$189.51	$360.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $202.63 / $202.63 / $202.63	Facility		$202.63	$202.63	$202.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $248.70 / $331.41 / $415.86	Professional		$248.70	$331.41	$415.86
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 $88.14 / $203.10 / $818.00	Professional		$88.14	$203.10	$818.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $140.19 / $140.19 / $140.19	Facility		$140.19	$140.19	$140.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $227.90 / $509.50	Professional		$128.91	$227.90	$509.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $795.00 / $1,696.86	Facility		$153.00	$795.00	$1,696.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $96.91 / $196.92 / $359.64	Professional		$96.91	$196.92	$359.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $107.08 / $204.57	Facility		$87.28	$107.08	$204.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $163.19 / $221.22	Professional		$87.28	$163.19	$221.22
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.57 / $226.34 / $372.64	Professional		$166.57	$226.34	$372.64