Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.00 / $4,250.00 / $10,398.00	Facility		$1,278.00	$4,250.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.23 / $746.00 / $1,111.92	Professional		$665.23	$746.00	$1,111.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $741.70 / $769.69 / $769.69	Professional		$741.70	$769.69	$769.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.09 / $838.09 / $838.09	Facility		$838.09	$838.09	$838.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.52 / $885.05 / $1,491.03	Professional		$678.52	$885.05	$1,491.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $875.63 / $1,182.18 / $1,512.46	Professional		$875.63	$1,182.18	$1,512.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,350.00 / $11,083.00	Facility		$1,426.00	$5,350.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $687.16 / $774.50 / $3,660.79	Professional		$687.16	$774.50	$3,660.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $855.30 / $855.30 / $1,511.70	Professional		$855.30	$855.30	$1,511.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $838.09 / $838.09 / $838.09	Facility		$838.09	$838.09	$838.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $678.69 / $904.22 / $1,493.62	Professional		$678.69	$904.22	$1,493.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $686.09 / $724.48 / $724.48	Facility		$686.09	$724.48	$724.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $686.09 / $724.48 / $767.76	Professional		$686.09	$724.48	$767.76
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 $658.00 / $898.57 / $1,481.20	Professional		$658.00	$898.57	$1,481.20