Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $7,799.00	Facility		$617.00	$2,371.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.89 / $455.29 / $568.41	Professional		$378.89	$455.29	$568.41
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 $443.56 / $460.30 / $460.30	Professional		$443.56	$460.30	$460.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $1,113.00 / $3,848.41	Facility		$343.00	$1,113.00	$3,848.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.96 / $534.35 / $897.66	Professional		$379.96	$534.35	$897.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,019.09 / $1,019.09 / $1,019.09	Facility		$1,019.09	$1,019.09	$1,019.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $533.80 / $714.10 / $912.40	Professional		$533.80	$714.10	$912.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,371.00 / $7,799.00	Facility		$657.00	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $392.54 / $511.50 / $2,402.75	Professional		$392.54	$511.50	$2,402.75
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 / $413.60 / $1,222.09	Professional		$5.00	$413.60	$1,222.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $795.00 / $3,661.98	Facility		$343.00	$795.00	$3,661.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $385.83 / $534.35 / $919.35	Professional		$385.83	$534.35	$919.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $413.02 / $441.61 / $441.61	Facility		$413.02	$441.61	$441.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $413.02 / $441.61 / $475.85	Professional		$413.02	$441.61	$475.85
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 $356.56 / $503.92 / $869.13	Professional		$356.56	$503.92	$869.13