Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.46 / $3,142.00 / $7,799.00	Facility		$982.46	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.42 / $910.37 / $1,284.30	Professional		$772.42	$910.37	$1,284.30
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 $908.99 / $943.29 / $943.29	Professional		$908.99	$943.29	$943.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.04 / $1,042.04 / $1,042.04	Facility		$1,042.04	$1,042.04	$1,042.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.37 / $1,070.56 / $1,811.92	Professional		$788.37	$1,070.56	$1,811.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.93 / $1,468.21 / $1,877.43	Professional		$1,086.93	$1,468.21	$1,877.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $774.04 / $982.46 / $4,728.91	Professional		$774.04	$982.46	$4,728.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,108.00 / $1,108.00 / $1,952.80	Professional		$1,108.00	$1,108.00	$1,952.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,042.04 / $1,042.04 / $1,042.04	Facility		$1,042.04	$1,042.04	$1,042.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $794.97 / $1,100.28 / $1,811.92	Professional		$794.97	$1,100.28	$1,811.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $904.58 / $904.58 / $1,036.54	Facility		$904.58	$904.58	$1,036.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $882.41 / $904.58 / $1,036.54	Professional		$882.41	$904.58	$1,036.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.75 / $1,074.50 / $1,676.84	Professional		$784.75	$1,074.50	$1,676.84