Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $555.70 / $1,326.00	Facility		$356.22	$555.70	$1,326.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.40 / $1,294.80 / $1,326.00	Professional		$452.40	$1,294.80	$1,326.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $296.95 / $347.84 / $8,459.92	Facility		$296.95	$347.84	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $347.84 / $347.84 / $347.84	Professional		$347.84	$347.84	$347.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,326.00 / $1,326.00 / $1,326.00	Facility		$1,326.00	$1,326.00	$1,326.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.00 / $1,326.00 / $1,326.00	Professional		$1,326.00	$1,326.00	$1,326.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $356.22 / $356.22 / $501.22	Professional		$356.22	$356.22	$501.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $527.21 / $883.43	Facility		$356.22	$527.21	$883.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $356.22 / $915.80 / $1,326.00	Professional		$356.22	$915.80	$1,326.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $477.20 / $782.70	Professional		$27.40	$477.20	$782.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,326.00 / $1,326.00 / $1,326.00	Facility		$1,326.00	$1,326.00	$1,326.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.00 / $1,326.00 / $1,326.00	Professional		$1,326.00	$1,326.00	$1,326.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $370.18 / $370.18 / $429.55	Facility		$370.18	$370.18	$429.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $370.18 / $370.18 / $429.55	Professional		$370.18	$370.18	$429.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,378.00 / $1,755.00	Professional		$1,300.00	$1,378.00	$1,755.00