Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $1,359.00 / $1,812.00	Facility		$1,359.00	$1,359.00	$1,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $28.35 / $33.40	Professional		$24.71	$28.35	$33.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $31.67 / $53.67	Professional		$30.52	$31.67	$53.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $64.01 / $299.57	Facility		$35.79	$64.01	$299.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $31.80 / $149.66	Professional		$11.56	$31.80	$149.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $72.23 / $72.23	Facility		$72.23	$72.23	$72.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $50.76	Professional		$20.05	$20.05	$50.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,812.00 / $1,812.00 / $1,812.00	Facility		$1,812.00	$1,812.00	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $29.15 / $165.73	Professional		$24.71	$29.15	$165.73
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $16.10 / $16.10	Facility		$16.10	$16.10	$16.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $40.31 / $65.59	Professional		$16.10	$40.31	$65.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $46.88 / $299.57	Facility		$35.79	$46.88	$299.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $31.80 / $149.66	Professional		$12.78	$31.80	$149.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $29.08 / $29.08	Facility		$29.08	$29.08	$29.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $29.08 / $32.02	Professional		$28.48	$29.08	$32.02
United Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $30.23 / $49.02	Professional		$22.26	$30.23	$49.02