Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $4,761.00 / $8,451.00	Facility		$921.00	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.52 / $516.96 / $874.59	Professional		$494.52	$516.96	$874.59
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 $492.57 / $777.51 / $1,020.01	Professional		$492.57	$777.51	$1,020.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $704.70 / $1,123.25	Professional		$510.00	$704.70	$1,123.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $677.04 / $906.52 / $906.52	Professional		$677.04	$906.52	$906.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $5,342.00 / $9,617.00	Facility		$1,054.00	$5,342.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $494.52 / $586.87 / $2,843.00	Professional		$494.52	$586.87	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $592.70 / $1,414.70	Professional		$6.00	$592.70	$1,414.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $526.80 / $707.79 / $1,132.31	Professional		$526.80	$707.79	$1,132.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $509.22 / $543.67 / $543.67	Facility		$509.22	$543.67	$543.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $509.22 / $543.67 / $574.95	Professional		$509.22	$543.67	$574.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,000.00	Facility		$2,155.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.52 / $679.58 / $1,112.79	Professional		$474.52	$679.58	$1,112.79