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 / $8,104.00	Facility		$918.00	$2,747.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.19 / $536.48 / $779.99	Professional		$476.19	$536.48	$779.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,393.00 / $11,479.00 / $18,724.00	Facility		$6,393.00	$11,479.00	$18,724.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $533.41 / $553.54 / $553.54	Professional		$533.41	$553.54	$553.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.99 / $602.99 / $602.99	Facility		$602.99	$602.99	$602.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.54 / $712.76 / $1,182.36	Professional		$513.54	$712.76	$1,182.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $631.00 / $855.43 / $1,089.92	Professional		$631.00	$855.43	$1,089.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,077.00 / $8,017.00	Facility		$954.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $481.80 / $656.87 / $2,774.36	Professional		$481.80	$656.87	$2,774.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $953.70 / $1,055.30 / $1,123.20	Professional		$953.70	$1,055.30	$1,123.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $602.99 / $602.99 / $602.99	Facility		$602.99	$602.99	$602.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $522.66 / $712.76 / $1,232.50	Professional		$522.66	$712.76	$1,232.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $518.58 / $518.58 / $1,028.38	Facility		$518.58	$518.58	$1,028.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $502.39 / $521.38 / $1,028.38	Professional		$502.39	$521.38	$1,028.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.86 / $705.23 / $1,126.39	Professional		$534.86	$705.23	$1,126.39