Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.36 / $3,839.00 / $8,113.00	Facility		$656.36	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.04 / $611.22 / $790.94	Professional		$537.04	$611.22	$790.94
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 $615.04 / $638.25 / $638.25	Professional		$615.04	$638.25	$638.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $697.07 / $2,151.00	Facility		$500.00	$697.07	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.66 / $751.16 / $1,301.69	Professional		$547.66	$751.16	$1,301.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,387.18 / $1,387.18 / $1,387.18	Facility		$1,387.18	$1,387.18	$1,387.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $726.62 / $960.60 / $1,237.51	Professional		$726.62	$960.60	$1,237.51
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 $544.36 / $656.36 / $2,843.00	Professional		$544.36	$656.36	$2,843.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $746.60 / $746.60 / $746.60	Facility		$746.60	$746.60	$746.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $635.00 / $894.20 / $1,249.50	Professional		$635.00	$894.20	$1,249.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $697.07 / $2,151.00	Facility		$500.00	$697.07	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $549.48 / $744.14 / $1,249.10	Professional		$549.48	$744.14	$1,249.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $599.86 / $599.86 / $753.19	Facility		$599.86	$599.86	$753.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $576.67 / $607.60 / $753.19	Professional		$576.67	$607.60	$753.19
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 $543.58 / $706.08 / $1,212.98	Professional		$543.58	$706.08	$1,212.98