Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.34 / $364.34 / $1,410.00	Facility		$364.34	$364.34	$1,410.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.34 / $426.36 / $529.87	Professional		$362.34	$426.36	$529.87
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 $674.11 / $885.30 / $885.30	Professional		$674.11	$885.30	$885.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $958.46	Facility		$501.14	$501.14	$958.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $365.83 / $839.26	Professional		$365.83	$365.83	$839.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $881.78 / $958.46 / $1,821.07	Professional		$881.78	$958.46	$1,821.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $364.34 / $364.34 / $1,410.00	Facility		$364.34	$364.34	$1,410.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $356.95 / $423.49 / $556.22	Professional		$356.95	$423.49	$556.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $1,195.80 / $1,888.30	Professional		$592.79	$1,195.80	$1,888.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $958.46	Facility		$501.14	$501.14	$958.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $365.83 / $1,076.63	Professional		$365.83	$365.83	$1,076.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $612.20 / $842.64 / $842.64	Facility		$612.20	$842.64	$842.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $612.20 / $842.64 / $912.28	Professional		$612.20	$842.64	$912.28
United Facility/Professional Professional Modifier Low / Median / High Price $335.36 / $443.54 / $798.38	Professional		$335.36	$443.54	$798.38