Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.96 / $3,839.00 / $8,113.00	Facility		$616.96	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.76 / $570.99 / $733.88	Professional		$461.76	$570.99	$733.88
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 $574.37 / $596.04 / $708.58	Professional		$574.37	$596.04	$708.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $650.60 / $2,151.00	Facility		$500.00	$650.60	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.11 / $650.24 / $1,124.97	Professional		$436.11	$650.24	$1,124.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,304.75 / $1,304.75 / $1,304.75	Facility		$1,304.75	$1,304.75	$1,304.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $683.44 / $911.31 / $1,162.71	Professional		$683.44	$911.31	$1,162.71
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 $482.02 / $616.96 / $2,843.00	Professional		$482.02	$616.96	$2,843.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $548.90 / $548.90 / $548.90	Facility		$548.90	$548.90	$548.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $677.30 / $1,483.30	Professional		$5.00	$677.30	$1,483.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $650.60 / $2,151.00	Facility		$500.00	$650.60	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $440.72 / $650.24 / $1,115.40	Professional		$440.72	$650.24	$1,115.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $432.41 / $559.59 / $559.59	Facility		$432.41	$559.59	$559.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $432.41 / $559.59 / $594.95	Professional		$432.41	$559.59	$594.95
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 $456.95 / $599.49 / $1,114.33	Professional		$456.95	$599.49	$1,114.33