Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.51 / $3,839.00 / $8,113.00	Facility		$460.51	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.03 / $440.50 / $557.15	Professional		$389.03	$440.50	$557.15
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 $431.87 / $448.16 / $448.16	Professional		$431.87	$448.16	$448.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.64 / $560.00 / $2,151.00	Facility		$490.64	$560.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.76 / $534.08 / $915.48	Professional		$396.76	$534.08	$915.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $971.80 / $971.80 / $971.80	Facility		$971.80	$971.80	$971.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $522.36 / $671.06 / $867.22	Professional		$522.36	$671.06	$867.22
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 $394.29 / $460.51 / $2,231.39	Professional		$394.29	$460.51	$2,231.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $188.90 / $188.90 / $188.90	Facility		$188.90	$188.90	$188.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $237.50 / $1,089.20	Professional		$7.00	$237.50	$1,089.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $490.64 / $560.00 / $2,151.00	Facility		$490.64	$560.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $403.50 / $529.64 / $899.08	Professional		$403.50	$529.64	$899.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $393.18 / $421.88 / $421.88	Facility		$393.18	$421.88	$421.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $393.18 / $421.88 / $444.93	Professional		$393.18	$421.88	$444.93
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.60 / $508.78 / $873.50	Professional		$364.60	$508.78	$873.50