Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,830.00 / $8,240.00	Facility		$976.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.74 / $699.74 / $1,023.86	Professional		$647.74	$699.74	$1,023.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $709.78 / $736.56 / $1,306.57	Professional		$709.78	$736.56	$1,306.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $804.98 / $804.98 / $804.98	Facility		$804.98	$804.98	$804.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.25 / $850.39 / $1,429.94	Professional		$617.25	$850.39	$1,429.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $842.11 / $1,135.32 / $1,454.55	Professional		$842.11	$1,135.32	$1,454.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,597.00 / $8,404.00	Facility		$1,013.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $647.74 / $754.36 / $3,811.19	Professional		$647.74	$754.36	$3,811.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $730.20 / $730.20 / $1,509.50	Professional		$730.20	$730.20	$1,509.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $804.98 / $804.98 / $804.98	Facility		$804.98	$804.98	$804.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $628.11 / $880.14 / $1,429.94	Professional		$628.11	$880.14	$1,429.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $657.18 / $698.33 / $698.33	Facility		$657.18	$698.33	$698.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $657.18 / $698.33 / $743.19	Professional		$657.18	$698.33	$743.19
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 $619.55 / $835.97 / $1,354.65	Professional		$619.55	$835.97	$1,354.65