Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,747.00 / $8,017.00	Facility		$882.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $433.39 / $540.16	Professional		$397.50	$433.39	$540.16
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 $413.64 / $429.25 / $821.46	Professional		$413.64	$429.25	$821.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $1,113.00 / $8,305.77	Facility		$343.00	$1,113.00	$8,305.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.20 / $537.04 / $906.46	Professional		$402.20	$537.04	$906.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $924.29 / $924.29 / $924.29	Facility		$924.29	$924.29	$924.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $494.78 / $638.94 / $831.87	Professional		$494.78	$638.94	$831.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,389.00 / $8,017.00	Facility		$954.00	$3,389.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $486.73 / $2,256.54	Professional		$397.50	$486.73	$2,256.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $448.90 / $448.90 / $448.90	Facility		$448.90	$448.90	$448.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $390.23 / $511.10 / $1,070.09	Professional		$390.23	$511.10	$1,070.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $795.00 / $7,903.42	Facility		$343.00	$795.00	$7,903.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $402.20 / $526.82 / $906.46	Professional		$402.20	$526.82	$906.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $409.93 / $409.93 / $446.26	Facility		$409.93	$409.93	$446.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $394.38 / $415.00 / $430.94	Professional		$394.38	$415.00	$430.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,899.00 / $4,557.00 / $7,000.00	Facility		$1,899.00	$4,557.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.06 / $506.59 / $828.37	Professional		$384.06	$506.59	$828.37