Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,483.00 / $7,799.00	Facility		$617.00	$2,483.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.62 / $178.52 / $314.56	Professional		$151.62	$178.52	$314.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $181.51 / $188.36 / $318.81	Professional		$181.51	$188.36	$318.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $1,113.00 / $3,858.13	Facility		$320.00	$1,113.00	$3,858.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.62 / $221.50 / $379.94	Professional		$152.62	$221.50	$379.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $411.75 / $411.75 / $411.75	Facility		$411.75	$411.75	$411.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $215.68 / $286.94 / $366.84	Professional		$215.68	$286.94	$366.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,422.00 / $7,799.00	Facility		$657.00	$2,422.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $160.55 / $218.78 / $1,037.48	Professional		$160.55	$218.78	$1,037.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $168.10 / $168.10 / $168.10	Facility		$168.10	$168.10	$168.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $217.50 / $459.60	Professional		$5.00	$217.50	$459.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $205.33 / $795.00 / $3,671.23	Facility		$205.33	$795.00	$3,671.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $163.22 / $221.80 / $379.94	Professional		$163.22	$221.80	$379.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $125.73 / $175.09 / $203.47	Facility		$125.73	$175.09	$203.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $129.96 / $176.62 / $185.81	Professional		$129.96	$176.62	$185.81
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.18 / $197.85 / $336.82	Professional		$146.18	$197.85	$336.82