Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.49 / $1,631.60 / $1,925.28	Facility		$615.49	$1,631.60	$1,925.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.07 / $372.94 / $396.24	Professional		$247.07	$372.94	$396.24
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $363.61 / $363.61 / $363.61	Professional		$363.61	$363.61	$363.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.39 / $638.90 / $1,547.32	Facility		$442.39	$638.90	$1,547.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,246.94 / $2,246.94 / $2,246.94	Professional		$2,246.94	$2,246.94	$2,246.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.48 / $629.33 / $1,151.44	Professional		$489.48	$629.33	$1,151.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $717.44 / $1,925.28 / $1,925.28	Facility		$717.44	$1,925.28	$1,925.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $305.95 / $396.24 / $1,925.28	Professional		$305.95	$396.24	$1,925.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $689.93 / $699.25 / $932.34	Professional		$689.93	$699.25	$932.34
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $453.69 / $721.50 / $1,547.32	Facility		$453.69	$721.50	$1,547.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,246.94 / $2,246.94 / $2,246.94	Professional		$2,246.94	$2,246.94	$2,246.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $466.17 / $466.17 / $512.79	Facility		$466.17	$466.17	$512.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $466.17 / $512.79	Professional		$466.17	$466.17	$512.79
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $279.70 / $853.09	Professional		$195.79	$279.70	$853.09