Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.50 / $2,976.75 / $4,391.37	Facility		$850.50	$2,976.75	$4,391.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.41 / $850.50 / $1,312.50	Professional		$625.41	$850.50	$1,312.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,600.17 / $4,797.42 / $8,459.92	Facility		$3,600.17	$4,797.42	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $819.00 / $819.00	Professional		$819.00	$819.00	$819.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.45 / $1,551.27 / $3,484.74	Facility		$996.45	$1,551.27	$3,484.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.80 / $1,185.56 / $2,375.04	Professional		$552.80	$1,185.56	$2,375.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $483.00 / $840.00 / $1,774.50	Professional		$483.00	$840.00	$1,774.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $892.50 / $2,976.75 / $4,336.50	Facility		$892.50	$2,976.75	$4,336.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $708.80 / $861.00 / $4,336.50	Professional		$708.80	$861.00	$4,336.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,554.00 / $1,575.00 / $2,100.00	Professional		$1,554.00	$1,575.00	$2,100.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,021.99 / $1,746.86 / $3,484.74	Facility		$1,021.99	$1,746.86	$3,484.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $778.66 / $1,185.56 / $2,375.04	Professional		$778.66	$1,185.56	$2,375.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $804.63 / $1,050.00 / $1,050.00	Facility		$804.63	$1,050.00	$1,050.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $804.63 / $1,050.00 / $1,050.00	Professional		$804.63	$1,050.00	$1,050.00
United Facility/Professional Facility Modifier Low / Median / High Price $437.79 / $437.79 / $437.79	Facility		$437.79	$437.79	$437.79
United Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $630.00 / $1,615.64	Professional		$441.00	$630.00	$1,615.64