Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,748.00 / $8,017.00	Facility		$768.00	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.96 / $682.17 / $796.95	Professional		$613.96	$682.17	$796.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $7,463.00 / $11,048.00	Facility		$2,800.00	$7,463.00	$11,048.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $501.65 / $804.19 / $1,152.09	Professional		$501.65	$804.19	$1,152.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.59 / $768.88 / $1,227.76	Professional		$550.59	$768.88	$1,227.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $865.23 / $865.23 / $914.87	Professional		$865.23	$865.23	$914.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,964.00 / $8,017.00	Facility		$954.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $567.91 / $691.98 / $3,467.28	Professional		$567.91	$691.98	$3,467.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,051.70 / $1,405.30	Professional		$3.00	$1,051.70	$1,405.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $590.17 / $798.80 / $1,227.76	Professional		$590.17	$798.80	$1,227.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $556.71 / $556.71 / $761.47	Facility		$556.71	$556.71	$761.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $531.07 / $567.84 / $761.47	Professional		$531.07	$567.84	$761.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,000.00	Facility		$1,440.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.80 / $765.97 / $1,237.58	Professional		$592.80	$765.97	$1,237.58