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 $547.19 / $614.11 / $890.79	Professional		$547.19	$614.11	$890.79
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $609.17 / $632.16 / $1,171.15	Professional		$609.17	$632.16	$1,171.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $690.84 / $690.84 / $690.84	Facility		$690.84	$690.84	$690.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.70 / $752.10 / $1,220.38	Professional		$574.70	$752.10	$1,220.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $716.54 / $960.04 / $1,237.66	Professional		$716.54	$960.04	$1,237.66
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 $547.19 / $656.73 / $3,331.17	Professional		$547.19	$656.73	$3,331.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $674.90 / $674.90 / $1,334.70	Professional		$674.90	$674.90	$1,334.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $690.84 / $690.84 / $690.84	Facility		$690.84	$690.84	$690.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $583.24 / $765.47 / $1,270.28	Professional		$583.24	$765.47	$1,270.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $598.63 / $598.63 / $614.26	Facility		$598.63	$598.63	$614.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $582.82 / $599.01 / $633.74	Professional		$582.82	$599.01	$633.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.27 / $761.22 / $1,243.45	Professional		$578.27	$761.22	$1,243.45