Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,070.00 / $7,629.00	Facility		$428.00	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.25 / $319.44 / $458.55	Professional		$270.25	$319.44	$458.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $349.83 / $363.03 / $447.02	Professional		$349.83	$363.03	$447.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.61 / $525.61 / $525.61	Facility		$525.61	$525.61	$525.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.32 / $365.90 / $623.46	Professional		$252.32	$365.90	$623.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $421.53 / $568.15 / $728.10	Professional		$421.53	$568.15	$728.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $8,017.00	Facility		$641.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $283.01 / $351.63 / $1,547.97	Professional		$283.01	$351.63	$1,547.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $313.50 / $422.60 / $705.10	Professional		$313.50	$422.60	$705.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $525.61 / $525.61 / $525.61	Facility		$525.61	$525.61	$525.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $272.94 / $374.80 / $626.20	Professional		$272.94	$374.80	$626.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $262.43 / $300.70 / $336.74	Facility		$262.43	$300.70	$336.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $293.89 / $329.14 / $362.37	Professional		$293.89	$329.14	$362.37
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 $255.39 / $380.65 / $619.86	Professional		$255.39	$380.65	$619.86