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 $108.19 / $120.24 / $150.13	Professional		$108.19	$120.24	$150.13
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 $117.55 / $121.99 / $121.99	Professional		$117.55	$121.99	$121.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $1,113.00 / $11,709.91	Facility		$320.00	$1,113.00	$11,709.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $149.72 / $264.00	Professional		$104.98	$149.72	$264.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $264.50 / $264.50 / $264.50	Facility		$264.50	$264.50	$264.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $182.24 / $235.66	Professional		$142.38	$182.24	$235.66
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 $108.68 / $136.74 / $1,200.00	Professional		$108.68	$136.74	$1,200.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $105.80 / $105.80 / $105.80	Facility		$105.80	$105.80	$105.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $110.80 / $292.10	Professional		$4.00	$110.80	$292.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $795.00 / $11,142.65	Facility		$132.63	$795.00	$11,142.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $149.72 / $270.20	Professional		$107.81	$149.72	$270.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $94.55 / $113.59 / $113.59	Facility		$94.55	$113.59	$113.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $113.59 / $119.65	Professional		$94.55	$113.59	$119.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,074.00 / $5,509.00	Facility		$1,300.00	$3,074.00	$5,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $134.02 / $233.49	Professional		$99.06	$134.02	$233.49