Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.83 / $3,142.00 / $7,799.00	Facility		$1,105.83	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.91 / $1,062.56 / $1,565.86	Professional		$900.91	$1,062.56	$1,565.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,070.83 / $1,111.25 / $1,111.25	Professional		$1,070.83	$1,111.25	$1,111.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $1,208.95 / $1,208.95	Facility		$1,208.95	$1,208.95	$1,208.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.75 / $1,181.29 / $2,098.87	Professional		$631.75	$1,181.29	$2,098.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,264.53 / $1,715.00 / $2,184.17	Professional		$1,264.53	$1,715.00	$2,184.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,017.00	Facility		$1,020.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $958.03 / $1,124.85 / $5,252.80	Professional		$958.03	$1,124.85	$5,252.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $988.40 / $1,049.09 / $2,194.10	Professional		$988.40	$1,049.09	$2,194.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $1,208.95 / $1,208.95	Facility		$1,208.95	$1,208.95	$1,208.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $678.02 / $1,228.50 / $2,103.83	Professional		$678.02	$1,228.50	$2,103.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $905.24 / $1,041.89 / $1,041.89	Facility		$905.24	$1,041.89	$1,041.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $905.24 / $1,041.89 / $1,103.16	Professional		$905.24	$1,041.89	$1,103.16
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $596.74 / $1,190.97 / $2,023.12	Professional		$596.74	$1,190.97	$2,023.12