Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $4,122.00 / $8,240.00	Facility		$810.00	$4,122.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.62 / $238.68 / $302.06	Professional		$210.62	$238.68	$302.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $7,463.00 / $11,048.00	Facility		$2,800.00	$7,463.00	$11,048.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $237.19 / $246.14 / $544.44	Professional		$237.19	$246.14	$544.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.42 / $310.47 / $487.98	Professional		$228.42	$310.47	$487.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.14 / $363.94 / $364.54	Professional		$275.14	$363.94	$364.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $926.00 / $4,597.00 / $8,247.00	Facility		$926.00	$4,597.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $210.62 / $261.45 / $1,426.00	Professional		$210.62	$261.45	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $304.89 / $585.20	Professional		$3.00	$304.89	$585.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $310.47 / $538.02	Professional		$238.50	$310.47	$538.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $230.70 / $230.70 / $356.60	Facility		$230.70	$230.70	$356.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $223.38 / $232.18 / $356.60	Professional		$223.38	$232.18	$356.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.42 / $295.01 / $488.31	Professional		$225.42	$295.01	$488.31