Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.62 / $2,070.00 / $7,629.00	Facility		$466.62	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $343.69 / $515.71	Professional		$154.63	$343.69	$515.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $399.21 / $414.27 / $414.27	Professional		$399.21	$414.27	$414.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $1,113.00 / $2,434.58	Facility		$320.00	$1,113.00	$2,434.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.56 / $351.21 / $691.43	Professional		$164.56	$351.21	$691.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $349.21 / $349.21 / $349.21	Facility		$349.21	$349.21	$349.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $484.74 / $642.58 / $821.02	Professional		$484.74	$642.58	$821.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,266.00 / $7,799.00	Facility		$617.00	$2,266.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $400.91 / $1,163.00	Professional		$157.44	$400.91	$1,163.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $217.60 / $217.60 / $217.60	Facility		$217.60	$217.60	$217.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $307.30 / $1,171.40	Professional		$5.00	$307.30	$1,171.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $269.16 / $795.00 / $2,316.65	Facility		$269.16	$795.00	$2,316.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $170.51 / $356.19 / $654.63	Professional		$170.51	$356.19	$654.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $154.04 / $268.02 / $411.62	Facility		$154.04	$268.02	$411.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.04 / $400.43 / $438.68	Professional		$154.04	$400.43	$438.68
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 $309.66 / $441.61 / $778.56	Professional		$309.66	$441.61	$778.56