Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.77 / $4,761.00 / $20,000.00	Facility		$669.77	$4,761.00	$20,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.48 / $630.50 / $814.69	Professional		$575.48	$630.50	$814.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $636.88 / $660.91 / $660.91	Professional		$636.88	$660.91	$660.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $723.86 / $2,151.00	Facility		$500.00	$723.86	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $783.85 / $1,342.54	Professional		$553.84	$783.85	$1,342.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,424.49 / $1,424.49 / $1,424.49	Facility		$1,424.49	$1,424.49	$1,424.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $753.52 / $999.46 / $1,277.00	Professional		$753.52	$999.46	$1,277.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $669.78 / $4,761.00 / $9,534.00	Facility		$669.78	$4,761.00	$9,534.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $582.53 / $669.78 / $2,843.00	Professional		$582.53	$669.78	$2,843.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $765.50 / $765.50 / $765.50	Facility		$765.50	$765.50	$765.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $916.20 / $1,618.40	Professional		$6.00	$916.20	$1,618.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $723.86 / $2,151.00	Facility		$500.00	$723.86	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $555.23 / $781.09 / $1,342.54	Professional		$555.23	$781.09	$1,342.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $624.23 / $624.88 / $624.88	Facility		$624.23	$624.88	$624.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $607.35 / $624.88 / $659.60	Professional		$607.35	$624.88	$659.60
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.75 / $726.89 / $1,187.09	Professional		$548.75	$726.89	$1,187.09