Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,494.00 / $8,017.00	Facility		$882.00	$3,494.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.06 / $718.09 / $1,079.22	Professional		$660.06	$718.09	$1,079.22
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 $738.05 / $781.69 / $1,324.27	Professional		$738.05	$781.69	$1,324.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.48 / $835.48 / $835.48	Facility		$835.48	$835.48	$835.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.04 / $868.82 / $1,473.61	Professional		$652.04	$868.82	$1,473.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $874.62 / $1,184.67 / $1,510.71	Professional		$874.62	$1,184.67	$1,510.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $660.06 / $771.37 / $3,643.05	Professional		$660.06	$771.37	$3,643.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $945.40 / $945.40 / $1,504.40	Professional		$945.40	$945.40	$1,504.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $835.48 / $835.48 / $835.48	Facility		$835.48	$835.48	$835.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $652.04 / $874.98 / $1,485.30	Professional		$652.04	$874.98	$1,485.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $718.03 / $718.03 / $908.02	Facility		$718.03	$718.03	$908.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $696.43 / $721.06 / $908.02	Professional		$696.43	$721.06	$908.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,843.00 / $3,742.00 / $7,000.00	Facility		$1,843.00	$3,742.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.46 / $899.18 / $1,478.44	Professional		$675.46	$899.18	$1,478.44