Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $7,799.00	Facility		$617.00	$2,371.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.43 / $130.00 / $204.84	Professional		$120.43	$130.00	$204.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $129.55 / $186.18 / $277.06	Professional		$129.55	$186.18	$277.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $560.00 / $10,226.00	Facility		$147.79	$560.00	$10,226.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.98 / $175.59 / $287.69	Professional		$126.98	$175.59	$287.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $289.30 / $289.30 / $289.30	Facility		$289.30	$289.30	$289.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.04 / $197.77 / $258.36	Professional		$156.04	$197.77	$258.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,371.00 / $7,799.00	Facility		$657.00	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $121.94 / $156.65 / $1,023.00	Professional		$121.94	$156.65	$1,023.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.60 / $259.89 / $322.30	Professional		$224.60	$259.89	$322.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $560.00 / $10,226.00	Facility		$147.79	$560.00	$10,226.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.33 / $174.18 / $287.69	Professional		$128.33	$174.18	$287.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $126.59 / $126.59 / $142.79	Facility		$126.59	$126.59	$142.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.17 / $129.10 / $142.79	Professional		$121.17	$129.10	$142.79
United Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $541.00 / $3,742.00	Facility		$80.00	$541.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.77 / $161.44 / $260.55	Professional		$118.77	$161.44	$260.55