Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,326.00 / $7,799.00	Facility		$594.00	$2,326.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $104.83 / $132.72	Professional		$94.10	$104.83	$132.72
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 $103.90 / $107.82 / $107.82	Professional		$103.90	$107.82	$107.82
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 $83.32 / $131.96 / $239.14	Professional		$83.32	$131.96	$239.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $233.94 / $233.94 / $233.94	Facility		$233.94	$233.94	$233.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.84 / $161.43 / $208.52	Professional		$125.84	$161.43	$208.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $7,799.00	Facility		$641.00	$2,326.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $120.83 / $1,200.00	Professional		$96.06	$120.83	$1,200.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $93.60 / $93.60	Facility		$93.60	$93.60	$93.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $172.50 / $258.80	Professional		$93.60	$172.50	$258.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $795.00 / $3,671.23	Facility		$117.31	$795.00	$3,671.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $130.35 / $248.00	Professional		$86.49	$130.35	$248.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $100.98	Facility		$100.43	$100.43	$100.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.33 / $100.98 / $105.88	Professional		$96.33	$100.98	$105.88
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 $83.52 / $121.01 / $209.05	Professional		$83.52	$121.01	$209.05