Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,761.00 / $8,451.00	Facility		$882.00	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.86 / $415.65 / $515.41	Professional		$378.86	$415.65	$515.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $401.69 / $416.84 / $416.84	Professional		$401.69	$416.84	$416.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $3,866.67 / $7,692.54	Facility		$560.00	$3,866.67	$7,692.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.95 / $513.07 / $899.20	Professional		$378.95	$513.07	$899.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $885.57 / $885.57 / $885.57	Facility		$885.57	$885.57	$885.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $466.66 / $617.10 / $788.46	Professional		$466.66	$617.10	$788.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $5,342.00 / $9,617.00	Facility		$1,020.00	$5,342.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $378.86 / $462.59 / $2,395.53	Professional		$378.86	$462.59	$2,395.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $438.40 / $438.40 / $438.40	Facility		$438.40	$438.40	$438.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $456.60 / $1,016.00	Professional		$5.00	$456.60	$1,016.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $459.91 / $3,836.33 / $7,692.54	Facility		$459.91	$3,836.33	$7,692.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $378.95 / $511.68 / $899.94	Professional		$378.95	$511.68	$899.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $382.28 / $394.39 / $394.39	Facility		$382.28	$394.39	$394.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $394.39 / $412.45	Professional		$382.28	$394.39	$412.45
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 $365.07 / $496.13 / $819.64	Professional		$365.07	$496.13	$819.64