Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.06 / $2,747.00 / $8,113.00	Facility		$284.06	$2,747.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.65 / $274.99 / $363.96	Professional		$171.65	$274.99	$363.96
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 $324.48 / $336.72 / $566.34	Professional		$324.48	$336.72	$566.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.37 / $319.37 / $319.37	Facility		$319.37	$319.37	$319.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.60 / $281.24 / $510.39	Professional		$178.60	$281.24	$510.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $392.07 / $527.94 / $677.22	Professional		$392.07	$527.94	$677.22
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 $180.29 / $288.56 / $977.97	Professional		$180.29	$288.56	$977.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $243.60 / $243.60 / $683.20	Professional		$243.60	$243.60	$683.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $319.37 / $319.37 / $319.37	Facility		$319.37	$319.37	$319.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $180.79 / $291.73 / $548.49	Professional		$180.79	$291.73	$548.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $169.34 / $182.08 / $305.70	Facility		$169.34	$182.08	$305.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $176.68 / $213.33 / $329.58	Professional		$176.68	$213.33	$329.58
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 $253.50 / $348.20 / $567.01	Professional		$253.50	$348.20	$567.01