Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.25 / $2,747.00 / $8,113.00	Facility		$318.25	$2,747.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.14 / $275.57 / $406.15	Professional		$174.14	$275.57	$406.15
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 $364.42 / $378.17 / $378.17	Professional		$364.42	$378.17	$378.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.83 / $336.83 / $336.83	Facility		$336.83	$336.83	$336.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.68 / $309.70 / $572.78	Professional		$183.68	$309.70	$572.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $444.76 / $608.39 / $768.23	Professional		$444.76	$608.39	$768.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $4,761.00 / $8,427.00	Facility		$657.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $176.62 / $318.25 / $987.58	Professional		$176.62	$318.25	$987.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.70 / $224.70 / $728.70	Professional		$224.70	$224.70	$728.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $336.83 / $336.83 / $336.83	Facility		$336.83	$336.83	$336.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $188.16 / $315.60 / $611.45	Professional		$188.16	$315.60	$611.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $149.47 / $191.76 / $342.58	Facility		$149.47	$191.76	$342.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $183.89 / $205.00 / $371.01	Professional		$183.89	$205.00	$371.01
United Facility/Professional Facility Modifier Low / Median / High Price $362.00 / $674.00 / $3,742.00	Facility		$362.00	$674.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.87 / $373.99 / $642.83	Professional		$252.87	$373.99	$642.83