Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $5,526.00 / $13,947.00	Facility		$540.00	$5,526.00	$13,947.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.40 / $477.79 / $582.66	Professional		$426.40	$477.79	$582.66
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 $365.25 / $667.13 / $843.98	Professional		$365.25	$667.13	$843.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.28 / $586.84 / $863.43	Professional		$408.28	$586.84	$863.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $627.39 / $627.39 / $661.85	Professional		$627.39	$627.39	$661.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $5,526.00 / $13,969.00	Facility		$832.00	$5,526.00	$13,969.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $426.40 / $516.70 / $2,154.40	Professional		$426.40	$516.70	$2,154.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $1,027.70	Professional		$10.00	$10.00	$1,027.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $449.23 / $593.45 / $953.00	Professional		$449.23	$593.45	$953.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.28 / $407.28 / $498.56	Facility		$407.28	$407.28	$498.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $388.79 / $415.43 / $498.56	Professional		$388.79	$415.43	$498.56
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 $410.17 / $556.13 / $861.47	Professional		$410.17	$556.13	$861.47