Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.66 / $3,839.00 / $8,247.00	Facility		$857.66	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.91 / $879.14 / $1,191.79	Professional		$775.91	$879.14	$1,191.79
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 $844.40 / $1,304.66 / $1,754.13	Professional		$844.40	$1,304.66	$1,754.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.10 / $1,219.42 / $1,930.79	Professional		$903.10	$1,219.42	$1,930.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.79 / $1,503.33 / $1,503.33	Professional		$1,130.79	$1,503.33	$1,503.33
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 $800.43 / $943.89 / $2,511.05	Professional		$800.43	$943.89	$2,511.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,685.40 / $2,421.30	Professional		$6.00	$1,685.40	$2,421.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $911.99 / $1,222.51 / $2,002.64	Professional		$911.99	$1,222.51	$2,002.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $858.61 / $944.71 / $944.71	Facility		$858.61	$944.71	$944.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $858.61 / $944.71 / $991.81	Professional		$858.61	$944.71	$991.81
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 $864.62 / $1,177.06 / $1,907.59	Professional		$864.62	$1,177.06	$1,907.59