Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.82 / $1,330.00 / $1,569.40	Facility		$584.82	$1,330.00	$1,569.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.60 / $311.60 / $1,311.23	Professional		$311.60	$311.60	$1,311.23
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 $296.39 / $296.39 / $296.39	Professional		$296.39	$296.39	$296.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.62 / $561.59 / $1,261.55	Facility		$360.62	$561.59	$1,261.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,831.60 / $1,831.60 / $1,831.60	Professional		$1,831.60	$1,831.60	$1,831.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $513.00 / $938.60	Professional		$399.00	$513.00	$938.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,033.30 / $1,569.40 / $1,569.40	Facility		$1,033.30	$1,569.40	$1,569.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $311.60 / $1,569.40 / $1,569.40	Professional		$311.60	$1,569.40	$1,569.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.40 / $570.00 / $760.00	Professional		$562.40	$570.00	$760.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $369.94 / $588.32 / $1,261.55	Facility		$369.94	$588.32	$1,261.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,831.60 / $1,831.60 / $1,831.60	Professional		$1,831.60	$1,831.60	$1,831.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $380.00 / $418.00	Facility		$380.00	$380.00	$418.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $418.00	Professional		$380.00	$380.00	$418.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $228.00 / $570.00	Professional		$159.60	$228.00	$570.00