Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $1,418.86 / $1,843.30	Facility		$575.50	$1,418.86	$1,843.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $581.25 / $733.68	Professional		$575.50	$581.25	$733.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $533.02 / $624.37 / $8,459.92	Facility		$533.02	$624.37	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $597.22 / $597.22 / $597.22	Professional		$597.22	$597.22	$597.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.92 / $575.50 / $575.50	Facility		$542.92	$575.50	$575.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $597.22	Professional		$575.50	$575.50	$597.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $597.22 / $624.37 / $779.24	Professional		$597.22	$624.37	$779.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $612.41 / $1,206.64 / $1,843.30	Facility		$612.41	$1,206.64	$1,843.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $612.41 / $1,034.99	Professional		$575.50	$612.41	$1,034.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $932.40 / $1,134.00	Professional		$27.40	$932.40	$1,134.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $542.92 / $575.50 / $575.50	Facility		$542.92	$575.50	$575.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $651.51	Professional		$575.50	$575.50	$651.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.06 / $467.06 / $541.96	Facility		$467.06	$467.06	$541.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.06 / $467.06 / $541.96	Professional		$467.06	$467.06	$541.96
United Facility/Professional Professional Modifier Low / Median / High Price $546.73 / $610.03 / $736.64	Professional		$546.73	$610.03	$736.64