Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.63 / $2,070.00 / $7,629.00	Facility		$252.63	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.59 / $173.95 / $280.08	Professional		$98.59	$173.95	$280.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $193.26 / $227.36 / $376.95	Professional		$193.26	$227.36	$376.95
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 $101.92 / $200.26 / $379.14	Professional		$101.92	$200.26	$379.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $239.11 / $239.11 / $239.11	Facility		$239.11	$239.11	$239.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.20 / $358.93 / $449.69	Professional		$269.20	$358.93	$449.69
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 $104.88 / $223.35 / $856.00	Professional		$104.88	$223.35	$856.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $163.10 / $163.10 / $163.10	Facility		$163.10	$163.10	$163.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.31 / $275.50 / $535.10	Professional		$152.31	$275.50	$535.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $180.95 / $795.00 / $1,696.86	Facility		$180.95	$795.00	$1,696.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $202.06 / $379.14	Professional		$103.32	$202.06	$379.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $102.01 / $103.06 / $221.31	Facility		$102.01	$103.06	$221.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.01 / $157.47 / $238.79	Professional		$102.01	$157.47	$238.79
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 $171.85 / $240.89 / $407.65	Professional		$171.85	$240.89	$407.65