Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $1,293.98 / $1,548.75	Facility		$318.75	$1,293.98	$1,548.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.75 / $303.75 / $318.75	Professional		$198.75	$303.75	$318.75
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 $292.50 / $292.50 / $292.50	Professional		$292.50	$292.50	$292.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.88 / $545.27 / $1,244.16	Facility		$355.88	$545.27	$1,244.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.50 / $1,807.50 / $1,807.50	Professional		$1,807.50	$1,807.50	$1,807.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $393.75 / $506.25 / $926.25	Professional		$393.75	$506.25	$926.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $386.25 / $1,548.75 / $1,548.75	Facility		$386.25	$1,548.75	$1,548.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $246.11 / $318.75 / $1,548.75	Professional		$246.11	$318.75	$1,548.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $562.50 / $750.00	Professional		$555.00	$562.50	$750.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $364.90 / $580.30 / $1,244.16	Facility		$364.90	$580.30	$1,244.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,807.50 / $1,807.50 / $1,807.50	Professional		$1,807.50	$1,807.50	$1,807.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $412.50	Facility		$375.00	$375.00	$412.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $375.00 / $412.50	Professional		$375.00	$375.00	$412.50
United Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $225.00 / $500.70	Professional		$157.50	$225.00	$500.70