Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $7,629.00	Facility		$641.00	$2,326.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.62 / $412.39 / $590.95	Professional		$365.62	$412.39	$590.95
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 $404.14 / $419.39 / $743.06	Professional		$404.14	$419.39	$743.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.80 / $460.80 / $460.80	Facility		$460.80	$460.80	$460.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.64 / $502.31 / $822.79	Professional		$371.64	$502.31	$822.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $479.41 / $641.77 / $828.08	Professional		$479.41	$641.77	$828.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,326.00 / $8,017.00	Facility		$657.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $374.02 / $474.87 / $2,153.44	Professional		$374.02	$474.87	$2,153.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $420.60 / $420.60 / $943.30	Professional		$420.60	$420.60	$943.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $460.80 / $460.80 / $460.80	Facility		$460.80	$460.80	$460.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $376.55 / $511.46 / $822.79	Professional		$376.55	$511.46	$822.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $377.99 / $398.49 / $398.49	Facility		$377.99	$398.49	$398.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $377.99 / $398.49 / $424.67	Professional		$377.99	$398.49	$424.67
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 $363.60 / $472.76 / $756.57	Professional		$363.60	$472.76	$756.57