Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,142.00 / $7,799.00	Facility		$882.00	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.38 / $791.33 / $1,097.67	Professional		$727.38	$791.33	$1,097.67
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 $784.74 / $814.35 / $814.35	Professional		$784.74	$814.35	$814.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.97 / $902.97 / $902.97	Facility		$902.97	$902.97	$902.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.72 / $940.20 / $1,617.93	Professional		$740.72	$940.20	$1,617.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $941.81 / $1,270.72 / $1,626.76	Professional		$941.81	$1,270.72	$1,626.76
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 $727.38 / $863.72 / $4,097.05	Professional		$727.38	$863.72	$4,097.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $952.90 / $952.90 / $1,650.90	Professional		$952.90	$952.90	$1,650.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $902.97 / $902.97 / $902.97	Facility		$902.97	$902.97	$902.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $747.86 / $959.19 / $1,654.89	Professional		$747.86	$959.19	$1,654.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $782.77 / $782.77 / $846.05	Facility		$782.77	$782.77	$846.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $765.20 / $782.77 / $846.05	Professional		$765.20	$782.77	$846.05
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 $689.74 / $939.58 / $1,458.68	Professional		$689.74	$939.58	$1,458.68