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 $789.70 / $886.85 / $1,317.04	Professional		$789.70	$886.85	$1,317.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $883.09 / $916.41 / $1,608.25	Professional		$883.09	$916.41	$1,608.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $998.04 / $998.04 / $998.04	Facility		$998.04	$998.04	$998.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.47 / $1,058.04 / $1,753.96	Professional		$796.47	$1,058.04	$1,753.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.15 / $1,415.00 / $1,803.54	Professional		$1,044.15	$1,415.00	$1,803.54
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 $815.73 / $992.87 / $3,494.00	Professional		$815.73	$992.87	$3,494.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $780.40 / $780.40 / $1,803.20	Professional		$780.40	$780.40	$1,803.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $998.04 / $998.04 / $998.04	Facility		$998.04	$998.04	$998.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $796.47 / $1,083.64 / $1,773.34	Professional		$796.47	$1,083.64	$1,773.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $712.11 / $859.15 / $859.15	Facility		$712.11	$859.15	$859.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $712.11 / $859.15 / $910.71	Professional		$712.11	$859.15	$910.71
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 $778.35 / $1,062.08 / $1,724.94	Professional		$778.35	$1,062.08	$1,724.94