Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $567.00 / $836.45	Facility		$162.00	$567.00	$836.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $170.00 / $1,286.00	Professional		$158.00	$170.00	$1,286.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,968.90 / $2,623.66 / $8,459.92	Facility		$1,968.90	$2,623.66	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $156.00 / $156.00	Professional		$156.00	$156.00	$156.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.80 / $295.55 / $663.91	Facility		$189.80	$295.55	$663.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.27 / $213.53 / $452.49	Professional		$94.27	$213.53	$452.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $270.00 / $497.38	Professional		$119.00	$270.00	$497.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $567.00 / $826.00	Facility		$170.00	$567.00	$826.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $250.00 / $826.00	Professional		$150.00	$250.00	$826.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $300.00 / $400.00	Professional		$296.00	$300.00	$400.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $194.57 / $332.74 / $663.91	Facility		$194.57	$332.74	$663.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $214.17 / $452.49	Professional		$129.91	$214.17	$452.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $601.90	Facility		$200.00	$200.00	$601.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $601.90	Professional		$200.00	$200.00	$601.90
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $120.00 / $300.00	Professional		$84.00	$120.00	$300.00