Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.72 / $3,839.00 / $8,113.00	Facility		$496.72	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.52 / $496.72 / $2,311.62	Professional		$434.52	$496.72	$2,311.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $443.30 / $521.53 / $855.04	Professional		$443.30	$521.53	$855.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $575.00 / $2,151.00	Facility		$500.00	$575.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.70 / $592.77 / $1,031.71	Professional		$415.70	$592.77	$1,031.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $909.53 / $909.53 / $909.53	Facility		$909.53	$909.53	$909.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $511.27 / $659.29 / $1,603.34	Professional		$511.27	$659.29	$1,603.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $434.52 / $501.38 / $2,763.49	Professional		$434.52	$501.38	$2,763.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $471.80 / $471.80 / $471.80	Facility		$471.80	$471.80	$471.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $471.80 / $471.80 / $516.60	Professional		$471.80	$471.80	$516.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $575.00 / $2,151.00	Facility		$500.00	$575.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $455.98 / $592.77 / $1,122.48	Professional		$455.98	$592.77	$1,122.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $444.05 / $491.41 / $491.41	Facility		$444.05	$491.41	$491.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $349.41 / $491.41 / $1,105.75	Professional		$349.41	$491.41	$1,105.75
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $570.72 / $927.27	Professional		$414.55	$570.72	$927.27