Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $7,799.00	Facility		$617.00	$2,371.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.73 / $211.64 / $273.22	Professional		$181.73	$211.64	$273.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $213.08 / $221.12 / $221.12	Professional		$213.08	$221.12	$221.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $699.87 / $1,392.35	Facility		$320.00	$699.87	$1,392.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.34 / $260.51 / $446.61	Professional		$178.34	$260.51	$446.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $482.31 / $482.31 / $482.31	Facility		$482.31	$482.31	$482.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $254.90 / $335.52 / $430.12	Professional		$254.90	$335.52	$430.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,371.00 / $7,799.00	Facility		$657.00	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $191.03 / $251.83 / $1,233.25	Professional		$191.03	$251.83	$1,233.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $119.40 / $119.40 / $119.40	Facility		$119.40	$119.40	$119.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $152.30 / $544.60	Professional		$5.00	$152.30	$544.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $240.68 / $694.37 / $1,392.35	Facility		$240.68	$694.37	$1,392.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $183.25 / $260.51 / $434.00	Professional		$183.25	$260.51	$434.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $137.18 / $207.82 / $207.82	Facility		$137.18	$207.82	$207.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $137.18 / $207.82 / $220.29	Professional		$137.18	$207.82	$220.29
United Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $1,090.00 / $3,742.00	Facility		$316.00	$1,090.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.61 / $236.53 / $402.68	Professional		$163.61	$236.53	$402.68