Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $7,799.00	Facility		$882.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.18 / $508.70 / $671.13	Professional		$451.18	$508.70	$671.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $527.29 / $547.17 / $547.17	Professional		$527.29	$547.17	$547.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $598.53 / $598.53 / $598.53	Facility		$598.53	$598.53	$598.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.79 / $596.92 / $994.30	Professional		$440.79	$596.92	$994.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $627.11 / $848.39 / $1,083.19	Professional		$627.11	$848.39	$1,083.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $451.18 / $543.04 / $2,703.04	Professional		$451.18	$543.04	$2,703.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $551.00 / $551.00 / $1,072.20	Professional		$551.00	$551.00	$1,072.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $598.53 / $598.53 / $598.53	Facility		$598.53	$598.53	$598.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $442.28 / $615.12 / $1,033.59	Professional		$442.28	$615.12	$1,033.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $510.33 / $510.33 / $552.90	Facility		$510.33	$510.33	$552.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $496.01 / $511.40 / $552.90	Professional		$496.01	$511.40	$552.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.01 / $616.83 / $1,032.83	Professional		$454.01	$616.83	$1,032.83