Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,048.00 / $8,451.00	Facility		$1,020.00	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.52 / $901.32 / $1,306.35	Professional		$803.52	$901.32	$1,306.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $893.38 / $967.31 / $1,640.23	Professional		$893.38	$967.31	$1,640.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,009.63 / $1,009.63 / $1,009.63	Facility		$1,009.63	$1,009.63	$1,009.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.54 / $1,131.19 / $1,848.02	Professional		$860.54	$1,131.19	$1,848.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.82 / $1,429.38 / $1,818.51	Professional		$1,052.82	$1,429.38	$1,818.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $4,993.00 / $10,247.00	Facility		$1,054.00	$4,993.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $803.52 / $997.11 / $4,390.27	Professional		$803.52	$997.11	$4,390.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,321.20 / $1,321.20 / $1,815.60	Professional		$1,321.20	$1,321.20	$1,815.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,009.63 / $1,009.63 / $1,009.63	Facility		$1,009.63	$1,009.63	$1,009.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $860.54 / $1,137.79 / $1,856.42	Professional		$860.54	$1,137.79	$1,856.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $871.81 / $871.81 / $1,068.29	Facility		$871.81	$871.81	$1,068.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $842.84 / $878.34 / $1,068.29	Professional		$842.84	$878.34	$1,068.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $897.19 / $1,130.51 / $1,810.18	Professional		$897.19	$1,130.51	$1,810.18