Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.51 / $3,839.00 / $8,113.00	Facility		$87.51	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.26 / $82.09 / $110.38	Professional		$75.26	$82.09	$110.38
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 $81.92 / $117.56 / $173.13	Professional		$81.92	$117.56	$173.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $560.00 / $2,151.00	Facility		$93.41	$560.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $109.86 / $180.57	Professional		$80.26	$109.86	$180.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $183.02 / $183.02 / $183.02	Facility		$183.02	$183.02	$183.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $125.06 / $163.29	Professional		$98.76	$125.06	$163.29
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 $77.17 / $87.51 / $453.13	Professional		$77.17	$87.51	$453.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $90.30 / $90.30 / $90.30	Facility		$90.30	$90.30	$90.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $140.40 / $203.90	Professional		$90.30	$140.40	$203.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $560.00 / $2,151.00	Facility		$93.41	$560.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.14 / $109.64 / $179.79	Professional		$81.14	$109.64	$179.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $79.90 / $79.90 / $89.27	Facility		$79.90	$79.90	$89.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $81.47 / $89.27	Professional		$76.29	$81.47	$89.27
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 $74.70 / $101.99 / $170.30	Professional		$74.70	$101.99	$170.30