Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,747.00 / $8,017.00	Facility		$882.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.71 / $464.68 / $598.41	Professional		$413.71	$464.68	$598.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $467.34 / $484.98 / $849.86	Professional		$467.34	$484.98	$849.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.00 / $1,865.00 / $5,401.85	Facility		$489.00	$1,865.00	$5,401.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.84 / $556.83 / $956.11	Professional		$393.84	$556.83	$956.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,058.74 / $1,058.74 / $1,058.74	Facility		$1,058.74	$1,058.74	$1,058.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $567.54 / $737.18 / $943.97	Professional		$567.54	$737.18	$943.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,120.00 / $8,017.00	Facility		$954.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $422.00 / $519.59 / $2,415.19	Professional		$422.00	$519.59	$2,415.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $456.40	Facility		$456.40	$456.40	$456.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $610.10 / $1,198.59	Professional		$3.00	$610.10	$1,198.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $1,403.00 / $5,140.17	Facility		$460.00	$1,403.00	$5,140.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $393.84 / $552.70 / $956.11	Professional		$393.84	$552.70	$956.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $341.21 / $406.41 / $455.47	Facility		$341.21	$406.41	$455.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $341.21 / $455.47 / $483.12	Professional		$341.21	$455.47	$483.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,265.00 / $3,331.00 / $6,000.00	Facility		$1,265.00	$3,331.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.06 / $533.38 / $882.24	Professional		$387.06	$533.38	$882.24