Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.39 / $3,839.00 / $8,113.00	Facility		$511.39	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.36 / $511.39 / $6,249.99	Professional		$447.36	$511.39	$6,249.99
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 $419.99 / $494.10 / $810.05	Professional		$419.99	$494.10	$810.05
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 $428.70 / $611.35 / $1,060.67	Professional		$428.70	$611.35	$1,060.67
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 $440.31 / $513.29 / $6,249.99	Professional		$440.31	$513.29	$6,249.99
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 $470.27 / $605.83 / $1,157.77	Professional		$470.27	$605.83	$1,157.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $441.80 / $465.55 / $465.55	Facility		$441.80	$465.55	$465.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $349.41 / $465.55 / $1,105.75	Professional		$349.41	$465.55	$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 $404.26 / $548.00 / $886.84	Professional		$404.26	$548.00	$886.84