Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.57 / $3,839.00 / $8,247.00	Facility		$946.57	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.17 / $883.46 / $1,127.01	Professional		$786.17	$883.46	$1,127.01
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $782.22 / $1,246.13 / $1,663.74	Professional		$782.22	$1,246.13	$1,663.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.64 / $1,143.97 / $1,799.94	Professional		$852.64	$1,143.97	$1,799.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.70 / $1,366.24 / $1,371.64	Professional		$1,032.70	$1,366.24	$1,371.64
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 $786.17 / $943.19 / $2,843.00	Professional		$786.17	$943.19	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,120.59 / $2,201.10	Professional		$6.00	$1,120.59	$2,201.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $855.38 / $1,156.05 / $1,835.90	Professional		$855.38	$1,156.05	$1,835.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $862.15 / $862.15 / $1,025.78	Facility		$862.15	$862.15	$1,025.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $866.37 / $1,025.78	Professional		$836.00	$866.37	$1,025.78
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $863.51 / $1,092.33 / $1,784.35	Professional		$863.51	$1,092.33	$1,784.35