Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.33 / $3,839.00 / $8,427.00	Facility		$724.33	$3,839.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.96 / $667.82 / $841.32	Professional		$551.96	$667.82	$841.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $527.07 / $963.03 / $1,240.27	Professional		$527.07	$963.03	$1,240.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $620.08 / $862.37 / $1,246.41	Professional		$620.08	$862.37	$1,246.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $904.21 / $904.21 / $953.96	Professional		$904.21	$904.21	$953.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,427.00	Facility		$832.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $585.45 / $724.33 / $3,204.08	Professional		$585.45	$724.33	$3,204.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $1,077.50 / $1,484.00	Professional		$20.00	$1,077.50	$1,484.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $663.36 / $874.87 / $1,369.03	Professional		$663.36	$874.87	$1,369.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $584.57 / $587.92 / $587.92	Facility		$584.57	$587.92	$587.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $561.11 / $587.92 / $613.28	Professional		$561.11	$587.92	$613.28
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $585.14 / $796.37 / $1,252.45	Professional		$585.14	$796.37	$1,252.45