Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,747.00 / $8,017.00	Facility		$657.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.77 / $194.83 / $258.08	Professional		$174.77	$194.83	$258.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $194.40 / $201.74 / $201.74	Professional		$194.40	$201.74	$201.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $257.64 / $428.34	Professional		$187.20	$257.64	$428.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.01 / $303.91 / $303.91	Professional		$229.01	$303.91	$303.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,077.00 / $8,017.00	Facility		$832.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $178.74 / $213.59 / $1,539.00	Professional		$178.74	$213.59	$1,539.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $257.10 / $484.60	Professional		$6.00	$257.10	$484.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $196.41 / $261.87 / $446.32	Professional		$196.41	$261.87	$446.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $190.06 / $190.06 / $275.43	Facility		$190.06	$190.06	$275.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $184.23 / $191.05 / $275.43	Professional		$184.23	$191.05	$275.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.93 / $238.26 / $385.95	Professional		$175.93	$238.26	$385.95