Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.58 / $3,839.00 / $8,113.00	Facility		$900.58	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.46 / $856.62 / $1,068.69	Professional		$786.46	$856.62	$1,068.69
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 $835.18 / $866.70 / $866.70	Professional		$835.18	$866.70	$866.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,151.00 / $8,051.32	Facility		$500.00	$2,151.00	$8,051.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.63 / $1,079.28 / $1,713.88	Professional		$683.63	$1,079.28	$1,713.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,891.24 / $1,891.24 / $1,891.24	Facility		$1,891.24	$1,891.24	$1,891.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $999.68 / $1,326.19 / $1,694.47	Professional		$999.68	$1,326.19	$1,694.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $900.58 / $4,761.00 / $8,247.00	Facility		$900.58	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $785.01 / $900.58 / $2,934.88	Professional		$785.01	$900.58	$2,934.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $762.20 / $762.20 / $762.20	Facility		$762.20	$762.20	$762.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $992.60 / $2,209.00	Professional		$6.00	$992.60	$2,209.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,109.00 / $7,820.94	Facility		$500.00	$2,109.00	$7,820.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $701.20 / $1,070.75 / $1,745.31	Professional		$701.20	$1,070.75	$1,745.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $824.59 / $824.59 / $859.93	Facility		$824.59	$824.59	$859.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $805.81 / $824.59 / $878.72	Professional		$805.81	$824.59	$878.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $4,750.00 / $18,841.16	Facility		$1,622.00	$4,750.00	$18,841.16
United Facility/Professional Professional Modifier Low / Median / High Price $721.72 / $974.49 / $1,592.93	Professional		$721.72	$974.49	$1,592.93