Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,050.00 / $8,451.00	Facility		$1,020.00	$4,050.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.68 / $904.45 / $1,317.39	Professional		$806.68	$904.45	$1,317.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $26,582.19	Facility		$8,850.00	$16,455.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $900.93 / $962.93 / $1,632.23	Professional		$900.93	$962.93	$1,632.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.12 / $1,018.12 / $1,018.12	Facility		$1,018.12	$1,018.12	$1,018.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.09 / $1,080.34 / $1,811.48	Professional		$840.09	$1,080.34	$1,811.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.30 / $1,444.27 / $1,840.06	Professional		$1,065.30	$1,444.27	$1,840.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.89 / $1,028.89 / $1,028.89	Professional		$1,028.89	$1,028.89	$1,028.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,342.00 / $10,247.00	Facility		$1,151.00	$5,342.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $806.68 / $967.89 / $4,434.21	Professional		$806.68	$967.89	$4,434.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,129.50 / $1,129.50 / $1,831.10	Professional		$1,129.50	$1,129.50	$1,831.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,018.12 / $1,018.12 / $1,018.12	Facility		$1,018.12	$1,018.12	$1,018.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $840.09 / $1,116.95 / $1,848.62	Professional		$840.09	$1,116.95	$1,848.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $876.17 / $876.17 / $973.29	Facility		$876.17	$876.17	$973.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $849.36 / $880.86 / $973.29	Professional		$849.36	$880.86	$973.29
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 $837.35 / $1,054.86 / $1,781.13	Professional		$837.35	$1,054.86	$1,781.13