Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $7,799.00	Facility		$617.00	$2,371.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.51 / $480.02 / $621.60	Professional		$443.51	$480.02	$621.60
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 $493.12 / $511.73 / $872.96	Professional		$493.12	$511.73	$872.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $554.52 / $4,138.63 / $8,219.10	Facility		$554.52	$4,138.63	$8,219.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.86 / $588.72 / $953.40	Professional		$425.86	$588.72	$953.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,085.24 / $1,085.24 / $1,085.24	Facility		$1,085.24	$1,085.24	$1,085.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $568.39 / $748.73 / $956.66	Professional		$568.39	$748.73	$956.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,371.00 / $7,799.00	Facility		$657.00	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $450.21 / $541.20 / $2,507.00	Professional		$450.21	$541.20	$2,507.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $443.60 / $443.60 / $443.60	Facility		$443.60	$443.60	$443.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $443.60 / $503.30 / $1,210.30	Professional		$443.60	$503.30	$1,210.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $3,260.00 / $7,820.94	Facility		$526.00	$3,260.00	$7,820.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $425.86 / $579.42 / $959.99	Professional		$425.86	$579.42	$959.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $413.74 / $477.88 / $477.88	Facility		$413.74	$477.88	$477.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $413.74 / $477.88 / $499.72	Professional		$413.74	$477.88	$499.72
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.25 / $551.52 / $930.49	Professional		$418.25	$551.52	$930.49