Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.27 / $3,839.00 / $8,113.00	Facility		$290.27	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.71 / $272.50 / $354.24	Professional		$246.71	$272.50	$354.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $271.47 / $281.70 / $515.20	Professional		$271.47	$281.70	$515.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.51 / $560.00 / $2,151.00	Facility		$310.51	$560.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.65 / $340.20 / $578.54	Professional		$247.65	$340.20	$578.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $606.08 / $606.08 / $606.08	Facility		$606.08	$606.08	$606.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $324.61 / $414.27 / $541.28	Professional		$324.61	$414.27	$541.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $4,761.00 / $8,247.00	Facility		$760.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $246.71 / $293.52 / $1,404.21	Professional		$246.71	$293.52	$1,404.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $285.00 / $285.00	Facility		$285.00	$285.00	$285.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $322.30 / $676.90	Professional		$285.00	$322.30	$676.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $310.51 / $560.00 / $2,151.00	Facility		$310.51	$560.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $256.10 / $338.01 / $578.54	Professional		$256.10	$338.01	$578.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $266.61 / $266.61 / $286.54	Facility		$266.61	$266.61	$286.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $254.44 / $272.00 / $286.54	Professional		$254.44	$272.00	$286.54
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.97 / $319.42 / $539.54	Professional		$242.97	$319.42	$539.54