Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.00 / $3,142.00 / $7,799.00	Facility		$1,119.00	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.29 / $1,081.46 / $1,329.29	Professional		$729.29	$1,081.46	$1,329.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,110.38 / $1,152.28 / $1,152.28	Professional		$1,110.38	$1,152.28	$1,152.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.85 / $1,254.85 / $1,254.85	Facility		$1,254.85	$1,254.85	$1,254.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.52 / $1,152.29 / $2,139.56	Professional		$678.52	$1,152.29	$2,139.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.61 / $1,775.83 / $2,260.34	Professional		$1,308.61	$1,775.83	$2,260.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,017.00	Facility		$1,020.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $918.46 / $1,149.28 / $5,441.95	Professional		$918.46	$1,149.28	$5,441.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $852.50 / $852.50 / $2,247.19	Professional		$852.50	$852.50	$2,247.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,254.85 / $1,254.85 / $1,254.85	Facility		$1,254.85	$1,254.85	$1,254.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $733.39 / $1,204.66 / $2,164.21	Professional		$733.39	$1,204.66	$2,164.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $699.92 / $1,081.70 / $1,081.70	Facility		$699.92	$1,081.70	$1,081.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $699.92 / $1,081.70 / $1,143.54	Professional		$699.92	$1,081.70	$1,143.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $697.51 / $1,215.92 / $2,000.86	Professional		$697.51	$1,215.92	$2,000.86