Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $3,745.00 / $8,017.00	Facility		$749.00	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.77 / $284.10 / $382.49	Professional		$256.77	$284.10	$382.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $278.36 / $288.86 / $566.50	Professional		$278.36	$288.86	$566.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $2,019.00 / $8,751.76	Facility		$491.00	$2,019.00	$8,751.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.83 / $378.10 / $619.44	Professional		$266.83	$378.10	$619.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $603.46 / $603.46 / $603.46	Facility		$603.46	$603.46	$603.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $416.74 / $538.20	Professional		$318.51	$416.74	$538.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,964.00 / $8,017.00	Facility		$954.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $262.70 / $341.38 / $1,630.00	Professional		$262.70	$341.38	$1,630.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $428.00 / $428.00	Facility		$428.00	$428.00	$428.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $509.60 / $663.50	Professional		$4.00	$509.60	$663.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $317.77 / $1,657.00 / $8,327.79	Facility		$317.77	$1,657.00	$8,327.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $266.83 / $374.54 / $640.41	Professional		$266.83	$374.54	$640.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $385.50	Facility		$271.68	$271.68	$385.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $261.54 / $275.02 / $385.50	Professional		$261.54	$275.02	$385.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,899.00 / $4,557.00 / $6,868.00	Facility		$1,899.00	$4,557.00	$6,868.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.94 / $350.45 / $548.53	Professional		$252.94	$350.45	$548.53