Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.20 / $2,070.00 / $7,629.00	Facility		$332.20	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $240.72 / $369.08	Professional		$128.38	$240.72	$369.08
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 $257.64 / $303.12 / $516.19	Professional		$257.64	$303.12	$516.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $1,235.59 / $2,760.00	Facility		$491.00	$1,235.59	$2,760.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.78 / $286.04 / $583.53	Professional		$136.78	$286.04	$583.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $291.17 / $291.17 / $291.17	Facility		$291.17	$291.17	$291.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $353.45 / $468.40 / $598.48	Professional		$353.45	$468.40	$598.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,326.00 / $7,799.00	Facility		$617.00	$2,326.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $289.16 / $856.00	Professional		$130.80	$289.16	$856.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $656.80 / $831.20	Professional		$5.00	$656.80	$831.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $224.04 / $1,225.90 / $3,025.00	Facility		$224.04	$1,225.90	$3,025.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $289.33 / $559.33	Professional		$141.44	$289.33	$559.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $159.80 / $350.69	Facility		$128.27	$159.80	$350.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.27 / $287.93 / $315.07	Professional		$128.27	$287.93	$315.07
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,734.00 / $4,300.00	Facility		$550.00	$1,734.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.39 / $350.85 / $554.16	Professional		$261.39	$350.85	$554.16