Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,745.00 / $8,017.00	Facility		$768.00	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.20 / $558.22 / $779.58	Professional		$520.20	$558.22	$779.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $5,951.00 / $8,887.00	Facility		$2,450.00	$5,951.00	$8,887.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $635.66 / $659.65 / $659.65	Professional		$635.66	$659.65	$659.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.39 / $664.94 / $1,186.30	Professional		$486.39	$664.94	$1,186.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $764.00 / $982.29 / $1,016.31	Professional		$764.00	$982.29	$1,016.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,964.00 / $8,017.00	Facility		$954.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $527.78 / $604.13 / $3,634.75	Professional		$527.78	$604.13	$3,634.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $574.29 / $574.29 / $601.50	Professional		$574.29	$574.29	$601.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $720.53 / $720.53 / $720.53	Facility		$720.53	$720.53	$720.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $522.25 / $689.63 / $1,229.20	Professional		$522.25	$689.63	$1,229.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $489.21 / $621.10 / $621.10	Facility		$489.21	$621.10	$621.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $489.21 / $621.10 / $660.47	Professional		$489.21	$621.10	$660.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.42 / $645.91 / $1,214.55	Professional		$477.42	$645.91	$1,214.55