Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.90 / $2,070.00 / $7,629.00	Facility		$424.90	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.75 / $373.37 / $497.87	Professional		$291.75	$373.37	$497.87
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 $395.09 / $410.00 / $410.00	Professional		$395.09	$410.00	$410.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $508.30 / $816.23	Facility		$343.00	$508.30	$816.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.07 / $445.72 / $718.90	Professional		$310.07	$445.72	$718.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $675.11 / $675.11 / $675.11	Facility		$675.11	$675.11	$675.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $472.07 / $624.48 / $797.89	Professional		$472.07	$624.48	$797.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $7,799.00	Facility		$641.00	$2,326.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $293.30 / $410.00 / $1,397.30	Professional		$293.30	$410.00	$1,397.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $343.70 / $343.70 / $343.70	Facility		$343.70	$343.70	$343.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $374.20 / $1,054.90	Professional		$5.00	$374.20	$1,054.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $508.30 / $1,113.00	Facility		$343.00	$508.30	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $312.79 / $447.28 / $726.61	Professional		$312.79	$447.28	$726.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $290.31 / $300.13 / $386.43	Facility		$290.31	$300.13	$386.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $289.12 / $377.83 / $413.26	Professional		$289.12	$377.83	$413.26
United Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $541.00 / $3,742.00	Facility		$80.00	$541.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.56 / $445.97 / $786.25	Professional		$341.56	$445.97	$786.25