Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,422.00 / $7,799.00	Facility		$617.00	$2,422.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.12 / $271.08 / $344.79	Professional		$210.12	$271.08	$344.79
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 $272.02 / $282.27 / $414.31	Professional		$272.02	$282.27	$414.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $1,998.88 / $3,938.52	Facility		$491.00	$1,998.88	$3,938.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.30 / $305.83 / $531.17	Professional		$215.30	$305.83	$531.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $623.04 / $623.04 / $623.04	Facility		$623.04	$623.04	$623.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $326.36 / $439.65 / $554.72	Professional		$326.36	$439.65	$554.72
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 $241.66 / $313.16 / $1,541.00	Professional		$241.66	$313.16	$1,541.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $229.10 / $229.10 / $229.10	Facility		$229.10	$229.10	$229.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $287.50 / $719.50	Professional		$5.00	$287.50	$719.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $310.24 / $1,983.20 / $3,747.73	Facility		$310.24	$1,983.20	$3,747.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $216.43 / $307.94 / $510.53	Professional		$216.43	$307.94	$510.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $195.70 / $264.63 / $264.63	Facility		$195.70	$264.63	$264.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $264.63 / $283.39	Professional		$195.70	$264.63	$283.39
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 $199.06 / $284.37 / $510.22	Professional		$199.06	$284.37	$510.22