Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.97 / $1,917.89 / $2,829.33	Facility		$547.97	$1,917.89	$2,829.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $547.97 / $1,818.92	Professional		$169.73	$547.97	$1,818.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $977.04 / $1,301.96 / $8,459.92	Facility		$977.04	$1,301.96	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $527.66 / $527.66 / $527.66	Professional		$527.66	$527.66	$527.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.01 / $999.35 / $2,244.92	Facility		$642.01	$999.35	$2,244.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.11 / $722.38 / $1,530.04	Professional		$356.11	$722.38	$1,530.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $402.52 / $913.28 / $1,285.34	Professional		$402.52	$913.28	$1,285.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $575.03 / $1,917.89 / $2,793.95	Facility		$575.03	$1,917.89	$2,793.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $426.20 / $575.03 / $2,793.95	Professional		$426.20	$575.03	$2,793.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.22 / $1,014.75 / $1,353.00	Professional		$1,001.22	$1,014.75	$1,353.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $658.34 / $1,125.49 / $2,244.92	Facility		$658.34	$1,125.49	$2,244.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $439.64 / $724.17 / $2,172.51	Professional		$439.64	$724.17	$2,172.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $676.50 / $676.50 / $744.15	Facility		$676.50	$676.50	$744.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $676.50 / $744.15	Professional		$676.50	$676.50	$744.15
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $537.47	Professional		$118.81	$169.73	$537.47