Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,745.00 / $8,017.00	Facility		$768.00	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.48 / $662.52 / $839.83	Professional		$583.48	$662.52	$839.83
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 $666.81 / $691.98 / $1,056.15	Professional		$666.81	$691.98	$1,056.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.26 / $854.76 / $1,330.09	Professional		$641.26	$854.76	$1,330.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $783.53 / $1,037.06 / $1,047.03	Professional		$783.53	$1,037.06	$1,047.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $583.48 / $700.00 / $3,486.35	Professional		$583.48	$700.00	$3,486.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $888.90 / $1,669.60	Professional		$3.00	$888.90	$1,669.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $642.74 / $868.67 / $1,382.84	Professional		$642.74	$868.67	$1,382.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $644.78 / $644.78 / $957.71	Facility		$644.78	$644.78	$957.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $627.29 / $645.74 / $957.71	Professional		$627.29	$645.74	$957.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,735.00 / $6,911.00 / $12,227.00	Facility		$3,735.00	$6,911.00	$12,227.00
United Facility/Professional Professional Modifier Low / Median / High Price $641.15 / $822.81 / $1,316.01	Professional		$641.15	$822.81	$1,316.01