Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,748.00 / $8,421.00	Facility		$954.00	$3,748.00	$8,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.39 / $521.29 / $843.51	Professional		$462.39	$521.29	$843.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $519.72 / $539.33 / $1,114.96	Professional		$519.72	$539.33	$1,114.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.85 / $589.85 / $589.85	Facility		$589.85	$589.85	$589.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.69 / $704.31 / $1,146.78	Professional		$498.69	$704.31	$1,146.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $599.60 / $789.29 / $1,035.67	Professional		$599.60	$789.29	$1,035.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,734.00 / $10,203.00	Facility		$1,013.00	$4,734.00	$10,203.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $477.63 / $702.83 / $2,753.79	Professional		$477.63	$702.83	$2,753.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $606.29 / $606.29 / $1,287.00	Professional		$606.29	$606.29	$1,287.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $589.85 / $589.85 / $589.85	Facility		$589.85	$589.85	$589.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $501.17 / $711.54 / $1,261.33	Professional		$501.17	$711.54	$1,261.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $502.97 / $502.97 / $629.91	Facility		$502.97	$502.97	$629.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $490.17 / $502.98 / $629.91	Professional		$490.17	$502.98	$629.91
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 $525.08 / $659.84 / $1,052.77	Professional		$525.08	$659.84	$1,052.77