Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,748.00 / $8,017.00	Facility		$768.00	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.30 / $383.14 / $482.47	Professional		$346.30	$383.14	$482.47
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 $374.14 / $388.26 / $388.26	Professional		$374.14	$388.26	$388.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $5,647.00 / $18,115.78	Facility		$560.00	$5,647.00	$18,115.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $508.99 / $835.06	Professional		$340.00	$508.99	$835.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $810.58 / $810.58 / $810.58	Facility		$810.58	$810.58	$810.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $427.56 / $560.02 / $722.17	Professional		$427.56	$560.02	$722.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $346.30 / $433.16 / $1,953.90	Professional		$346.30	$433.16	$1,953.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $538.90 / $538.90 / $538.90	Facility		$538.90	$538.90	$538.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $640.10 / $894.60	Professional		$4.00	$640.10	$894.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $428.89 / $4,716.00 / $17,238.20	Facility		$428.89	$4,716.00	$17,238.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $351.37 / $503.65 / $864.33	Professional		$351.37	$503.65	$864.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $366.25 / $366.25 / $447.50	Facility		$366.25	$366.25	$447.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $352.63 / $370.72 / $447.50	Professional		$352.63	$370.72	$447.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,803.00 / $4,563.00 / $7,000.00	Facility		$1,803.00	$4,563.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.68 / $472.09 / $747.13	Professional		$340.68	$472.09	$747.13