Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.31 / $2,070.00 / $7,629.00	Facility		$248.31	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $165.42 / $274.73	Professional		$97.73	$165.42	$274.73
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,567.00 / $11,091.00	Facility		$4,150.00	$7,567.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $214.27 / $222.35 / $222.35	Professional		$214.27	$222.35	$222.35
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 $106.38 / $202.80 / $376.01	Professional		$106.38	$202.80	$376.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $237.68 / $237.68 / $237.68	Facility		$237.68	$237.68	$237.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.33 / $351.17 / $439.62	Professional		$263.33	$351.17	$439.62
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 $103.87 / $213.48 / $856.00	Professional		$103.87	$213.48	$856.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $158.30 / $158.30 / $158.30	Facility		$158.30	$158.30	$158.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.32 / $291.30 / $568.29	Professional		$151.32	$291.30	$568.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $179.75 / $795.00 / $3,671.23	Facility		$179.75	$795.00	$3,671.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $206.26 / $376.01	Professional		$108.28	$206.26	$376.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $101.76 / $108.29 / $217.16	Facility		$101.76	$108.29	$217.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $165.98 / $234.28	Professional		$101.76	$165.98	$234.28
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 $169.68 / $235.95 / $394.89	Professional		$169.68	$235.95	$394.89