Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.56 / $3,839.00 / $8,113.00	Facility		$249.56	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.51 / $234.30 / $304.43	Professional		$205.51	$234.30	$304.43
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 $233.50 / $242.31 / $442.33	Professional		$233.50	$242.31	$442.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.61 / $575.00 / $2,151.00	Facility		$267.61	$575.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.77 / $296.39 / $497.24	Professional		$212.77	$296.39	$497.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $521.29 / $521.29 / $521.29	Facility		$521.29	$521.29	$521.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.17 / $356.34 / $465.60	Professional		$281.17	$356.34	$465.60
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 $211.20 / $254.70 / $1,207.05	Professional		$211.20	$254.70	$1,207.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $237.80 / $237.80 / $237.80	Facility		$237.80	$237.80	$237.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $237.80 / $268.50 / $582.00	Professional		$237.80	$268.50	$582.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $267.61 / $575.00 / $2,151.00	Facility		$267.61	$575.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $220.28 / $291.52 / $497.24	Professional		$220.28	$291.52	$497.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $229.14 / $229.14 / $247.52	Facility		$229.14	$229.14	$247.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $218.70 / $233.76 / $247.52	Professional		$218.70	$233.76	$247.52
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 $211.36 / $273.27 / $459.02	Professional		$211.36	$273.27	$459.02