Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.04 / $2,240.00 / $7,799.00	Facility		$350.04	$2,240.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.89 / $304.64 / $409.63	Professional		$214.89	$304.64	$409.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $324.24 / $336.48 / $336.48	Professional		$324.24	$336.48	$336.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $932.58 / $1,852.05	Facility		$343.00	$932.58	$1,852.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.58 / $360.87 / $600.41	Professional		$232.58	$360.87	$600.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $501.04 / $501.04 / $501.04	Facility		$501.04	$501.04	$501.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $387.89 / $513.04 / $655.51	Professional		$387.89	$513.04	$655.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $8,017.00	Facility		$641.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $215.55 / $332.83 / $1,236.43	Professional		$215.55	$332.83	$1,236.43
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $293.89 / $293.89 / $293.89	Facility		$293.89	$293.89	$293.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $374.20 / $870.60	Professional		$5.00	$374.20	$870.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $795.00 / $1,762.33	Facility		$343.00	$795.00	$1,762.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $362.26 / $637.13	Professional		$235.00	$362.26	$637.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $214.71 / $236.29 / $329.09	Facility		$214.71	$236.29	$329.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $312.70 / $340.67	Professional		$214.12	$312.70	$340.67
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.68 / $379.30 / $653.12	Professional		$275.68	$379.30	$653.12