Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,747.00 / $8,017.00	Facility		$918.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.17 / $633.44 / $934.15	Professional		$536.17	$633.44	$934.15
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 $638.84 / $662.95 / $662.95	Professional		$638.84	$662.95	$662.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.51 / $723.51 / $723.51	Facility		$723.51	$723.51	$723.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.69 / $706.83 / $1,277.49	Professional		$484.69	$706.83	$1,277.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $757.57 / $1,026.14 / $1,308.53	Professional		$757.57	$1,026.14	$1,308.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,120.00 / $8,017.00	Facility		$954.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $567.94 / $687.95 / $3,136.94	Professional		$567.94	$687.95	$3,136.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $774.70 / $774.70 / $1,310.09	Professional		$774.70	$774.70	$1,310.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $723.51 / $723.51 / $723.51	Facility		$723.51	$723.51	$723.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $512.28 / $743.35 / $1,278.21	Professional		$512.28	$743.35	$1,278.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $619.28 / $619.28 / $742.27	Facility		$619.28	$619.28	$742.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $600.58 / $621.70 / $742.27	Professional		$600.58	$621.70	$742.27
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 $483.91 / $707.74 / $1,134.29	Professional		$483.91	$707.74	$1,134.29