Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $7,629.00	Facility		$641.00	$2,326.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.95 / $253.99 / $494.17	Professional		$219.95	$253.99	$494.17
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 $330.50 / $342.97 / $342.97	Professional		$330.50	$342.97	$342.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.56 / $374.15 / $683.13	Professional		$262.56	$374.15	$683.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $395.92 / $559.89 / $683.87	Professional		$395.92	$559.89	$683.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,326.00 / $8,017.00	Facility		$657.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $226.67 / $296.92 / $1,503.81	Professional		$226.67	$296.92	$1,503.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.90 / $346.90 / $529.40	Professional		$346.90	$346.90	$529.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $265.88 / $386.36 / $731.88	Professional		$265.88	$386.36	$731.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $249.30 / $249.30 / $656.32	Facility		$249.30	$249.30	$656.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $241.91 / $250.36 / $484.03	Professional		$241.91	$250.36	$484.03
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.47 / $382.63 / $645.26	Professional		$255.47	$382.63	$645.26