Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.32 / $3,839.00 / $8,113.00	Facility		$606.32	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.01 / $563.54 / $728.36	Professional		$496.01	$563.54	$728.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $568.41 / $589.86 / $770.53	Professional		$568.41	$589.86	$770.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $642.88 / $1,113.00	Facility		$343.00	$642.88	$1,113.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.17 / $681.92 / $1,181.44	Professional		$504.17	$681.92	$1,181.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,285.03 / $1,285.03 / $1,285.03	Facility		$1,285.03	$1,285.03	$1,285.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $689.62 / $892.13 / $1,145.72	Professional		$689.62	$892.13	$1,145.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $496.01 / $606.32 / $2,843.00	Professional		$496.01	$606.32	$2,843.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $692.00 / $692.00 / $692.00	Facility		$692.00	$692.00	$692.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $828.90 / $1,444.80	Professional		$6.00	$828.90	$1,444.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $642.88 / $1,113.00	Facility		$343.00	$642.88	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $504.55 / $681.92 / $1,181.44	Professional		$504.55	$681.92	$1,181.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $553.33 / $553.33 / $633.74	Facility		$553.33	$553.33	$633.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $532.79 / $559.59 / $633.74	Professional		$532.79	$559.59	$633.74
United Facility/Professional Facility Modifier Low / Median / High Price $528.00 / $1,728.00 / $4,300.00	Facility		$528.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.34 / $631.64 / $1,068.44	Professional		$496.34	$631.64	$1,068.44