Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,422.00 / $7,799.00	Facility		$617.00	$2,422.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.15 / $143.43 / $174.28	Professional		$118.15	$143.43	$174.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $123.96 / $128.63 / $128.63	Professional		$123.96	$128.63	$128.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $343.00 / $649.00	Facility		$142.06	$343.00	$649.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $157.88 / $264.20	Professional		$119.00	$157.88	$264.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $275.45 / $275.45 / $275.45	Facility		$275.45	$275.45	$275.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $187.69 / $246.69	Professional		$144.29	$187.69	$246.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,422.00 / $7,799.00	Facility		$657.00	$2,422.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $154.43 / $1,234.00	Professional		$121.30	$154.43	$1,234.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $170.80 / $170.80 / $170.80	Facility		$170.80	$170.80	$170.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.80 / $203.60 / $305.50	Professional		$170.80	$203.60	$305.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $343.00 / $649.00	Facility		$142.06	$343.00	$649.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $156.06 / $263.99	Professional		$119.00	$156.06	$263.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $121.65 / $121.65 / $177.91	Facility		$121.65	$121.65	$177.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $124.08 / $177.91	Professional		$115.97	$124.08	$177.91
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $4,430.00	Facility		$162.00	$650.00	$4,430.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $149.99 / $244.25	Professional		$115.36	$149.99	$244.25