Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,748.00 / $8,017.00	Facility		$832.00	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.86 / $509.89 / $630.15	Professional		$460.86	$509.89	$630.15
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 $489.80 / $508.29 / $508.29	Professional		$489.80	$508.29	$508.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $2,019.00 / $8,051.32	Facility		$526.00	$2,019.00	$8,051.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.85 / $624.12 / $1,001.34	Professional		$432.85	$624.12	$1,001.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,105.29 / $1,105.29 / $1,105.29	Facility		$1,105.29	$1,105.29	$1,105.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $584.23 / $774.91 / $990.10	Professional		$584.23	$774.91	$990.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $460.86 / $567.07 / $2,636.16	Professional		$460.86	$567.07	$2,636.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $549.29 / $549.29 / $549.29	Facility		$549.29	$549.29	$549.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $658.50 / $1,285.50	Professional		$5.00	$658.50	$1,285.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,657.00 / $7,661.29	Facility		$526.00	$1,657.00	$7,661.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $432.85 / $623.80 / $1,072.41	Professional		$432.85	$623.80	$1,072.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $474.56 / $485.41 / $485.41	Facility		$474.56	$485.41	$485.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $473.64 / $485.41 / $516.05	Professional		$473.64	$485.41	$516.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,530.00 / $3,879.00 / $7,000.00	Facility		$1,530.00	$3,879.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.96 / $585.67 / $985.13	Professional		$434.96	$585.67	$985.13