Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.99 / $3,839.00 / $8,113.00	Facility		$252.99	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.34 / $252.99 / $1,632.38	Professional		$221.34	$252.99	$1,632.38
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 $374.25 / $440.29 / $721.83	Professional		$374.25	$440.29	$721.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $575.00 / $2,151.00	Facility		$297.22	$575.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.57 / $319.04 / $556.34	Professional		$225.57	$319.04	$556.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $420.61 / $420.61 / $420.61	Facility		$420.61	$420.61	$420.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.60 / $306.39 / $818.90	Professional		$237.60	$306.39	$818.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $221.34 / $285.07 / $1,632.38	Professional		$221.34	$285.07	$1,632.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $220.00 / $220.00	Facility		$220.00	$220.00	$220.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $240.90	Professional		$220.00	$220.00	$240.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $575.00 / $2,151.00	Facility		$297.22	$575.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $239.84 / $312.70 / $572.99	Professional		$239.84	$312.70	$572.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $348.75 / $414.85 / $414.85	Facility		$348.75	$414.85	$414.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $217.31 / $406.27 / $564.76	Professional		$217.31	$406.27	$564.76
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 $205.39 / $412.27 / $769.67	Professional		$205.39	$412.27	$769.67