Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,422.00 / $7,629.00	Facility		$641.00	$2,422.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.10 / $355.43 / $644.77	Professional		$315.10	$355.43	$644.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $363.91 / $377.64 / $610.07	Professional		$363.91	$377.64	$610.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.74 / $417.74 / $417.74	Facility		$417.74	$417.74	$417.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.87 / $406.53 / $682.85	Professional		$291.87	$406.53	$682.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $438.97 / $589.84 / $758.21	Professional		$438.97	$589.84	$758.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,371.00 / $8,017.00	Facility		$657.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $315.92 / $378.02 / $1,802.89	Professional		$315.92	$378.02	$1,802.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $313.60 / $313.60 / $744.50	Professional		$313.60	$313.60	$744.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $417.74 / $417.74 / $417.74	Facility		$417.74	$417.74	$417.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $310.04 / $411.97 / $694.98	Professional		$310.04	$411.97	$694.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $344.76 / $347.67 / $347.67	Facility		$344.76	$347.67	$347.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $341.13 / $347.67 / $374.61	Professional		$341.13	$347.67	$374.61
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $391.60 / $650.22	Professional		$287.14	$391.60	$650.22