Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.91 / $489.00 / $1,085.00	Facility		$233.91	$489.00	$1,085.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.87 / $201.17 / $307.00	Professional		$156.87	$201.17	$307.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $204.28 / $211.99 / $232.68	Professional		$204.28	$211.99	$232.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.97 / $233.61 / $264.62	Facility		$141.97	$233.61	$264.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $206.64 / $399.82	Professional		$117.60	$206.64	$399.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.70 / $313.23 / $420.77	Professional		$213.70	$313.23	$420.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $651.00 / $1,085.00	Facility		$445.00	$651.00	$1,085.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $156.87 / $206.58 / $374.85	Professional		$156.87	$206.58	$374.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $182.62 / $372.19	Professional		$99.67	$182.62	$372.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $141.97 / $233.61 / $233.61	Facility		$141.97	$233.61	$233.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $206.64 / $409.87	Professional		$113.10	$206.64	$409.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $178.49 / $200.82 / $200.82	Facility		$178.49	$200.82	$200.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $198.11 / $200.82 / $215.44	Professional		$198.11	$200.82	$215.44
United Facility/Professional Facility Modifier Low / Median / High Price $236.87 / $421.10 / $531.64	Facility		$236.87	$421.10	$531.64
United Facility/Professional Professional Modifier Low / Median / High Price $134.68 / $210.77 / $397.48	Professional		$134.68	$210.77	$397.48