Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.05 / $1,978.00 / $7,197.00	Facility		$515.05	$1,978.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.30 / $495.09 / $758.86	Professional		$443.30	$495.09	$758.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $500.24 / $519.11 / $879.99	Professional		$500.24	$519.11	$879.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $568.02	Facility		$568.02	$568.02	$568.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.94 / $582.97 / $980.01	Professional		$422.94	$582.97	$980.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $595.29 / $805.48 / $1,028.22	Professional		$595.29	$805.48	$1,028.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,070.00 / $8,017.00	Facility		$594.00	$2,070.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $452.74 / $523.85 / $2,463.64	Professional		$452.74	$523.85	$2,463.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $526.29 / $526.29 / $1,017.40	Professional		$526.29	$526.29	$1,017.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $568.02	Facility		$568.02	$568.02	$568.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $428.25 / $585.34 / $999.66	Professional		$428.25	$585.34	$999.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $459.36 / $483.89 / $483.89	Facility		$459.36	$483.89	$483.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $459.36 / $483.89 / $515.45	Professional		$459.36	$483.89	$515.45
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.21 / $586.01 / $977.41	Professional		$430.21	$586.01	$977.41