Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,070.00 / $7,629.00	Facility		$617.00	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.63 / $268.57 / $684.60	Professional		$176.63	$268.57	$684.60
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 $460.17 / $541.38 / $959.20	Professional		$460.17	$541.38	$959.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $1,210.34 / $2,530.51	Facility		$491.00	$1,210.34	$2,530.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $419.43 / $1,048.90	Professional		$184.00	$419.43	$1,048.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $399.11 / $399.11 / $399.11	Facility		$399.11	$399.11	$399.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $635.38 / $842.36 / $1,076.28	Professional		$635.38	$842.36	$1,076.28
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 $180.05 / $531.21 / $1,841.51	Professional		$180.05	$531.21	$1,841.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $664.69 / $1,561.50	Professional		$4.00	$664.69	$1,561.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $307.91 / $1,200.84 / $2,656.00	Facility		$307.91	$1,200.84	$2,656.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $187.46 / $424.45 / $1,012.67	Professional		$187.46	$424.45	$1,012.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $176.78 / $213.69 / $647.16	Facility		$176.78	$213.69	$647.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $176.78 / $528.57 / $580.42	Professional		$176.78	$528.57	$580.42
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 $512.17 / $686.54 / $1,120.30	Professional		$512.17	$686.54	$1,120.30