Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.52 / $3,839.00 / $8,113.00	Facility		$600.52	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.69 / $556.63 / $714.45	Professional		$454.69	$556.63	$714.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $26,041.54 / $39,341.64	Facility		$8,639.91	$26,041.54	$39,341.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $557.69 / $578.73 / $578.73	Professional		$557.69	$578.73	$578.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $630.51 / $2,151.00	Facility		$500.00	$630.51	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.07 / $638.16 / $1,102.66	Professional		$435.07	$638.16	$1,102.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,263.95 / $1,263.95 / $1,263.95	Facility		$1,263.95	$1,263.95	$1,263.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $662.07 / $880.34 / $1,126.64	Professional		$662.07	$880.34	$1,126.64
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 $496.43 / $600.52 / $2,843.00	Professional		$496.43	$600.52	$2,843.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $554.60 / $554.60 / $554.60	Facility		$554.60	$554.60	$554.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $698.60 / $1,437.60	Professional		$5.00	$698.60	$1,437.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $630.51 / $2,151.00	Facility		$500.00	$630.51	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $435.44 / $638.16 / $1,102.66	Professional		$435.44	$638.16	$1,102.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.10 / $543.86 / $543.86	Facility		$467.10	$543.86	$543.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.10 / $543.86 / $577.09	Professional		$467.10	$543.86	$577.09
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 $452.60 / $615.54 / $1,065.08	Professional		$452.60	$615.54	$1,065.08