Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $7,799.00	Facility		$882.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.67 / $716.38 / $1,050.08	Professional		$643.67	$716.38	$1,050.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $720.68 / $767.09 / $1,302.55	Professional		$720.68	$767.09	$1,302.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.40 / $815.40 / $815.40	Facility		$815.40	$815.40	$815.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.62 / $864.93 / $1,447.41	Professional		$669.62	$864.93	$1,447.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $853.48 / $1,156.45 / $1,474.19	Professional		$853.48	$1,156.45	$1,474.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $643.67 / $797.80 / $3,547.62	Professional		$643.67	$797.80	$3,547.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $894.40 / $894.40 / $1,466.50	Professional		$894.40	$894.40	$1,466.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $815.40 / $815.40 / $815.40	Facility		$815.40	$815.40	$815.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $670.49 / $893.56 / $1,476.02	Professional		$670.49	$893.56	$1,476.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $700.80 / $700.80 / $767.12	Facility		$700.80	$700.80	$767.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $679.44 / $704.03 / $767.12	Professional		$679.44	$704.03	$767.12
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 $665.42 / $863.31 / $1,419.05	Professional		$665.42	$863.31	$1,419.05