Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,627.00 / $8,017.00	Facility		$832.00	$3,627.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.50 / $1,375.78 / $2,082.06	Professional		$386.50	$1,375.78	$2,082.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,005.15 / $2,208.30 / $3,300.06	Professional		$1,005.15	$2,208.30	$3,300.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.33 / $1,663.39 / $3,263.29	Professional		$476.33	$1,663.39	$3,263.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,864.81 / $2,475.84 / $2,551.30	Professional		$1,864.81	$2,475.84	$2,551.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,964.00 / $8,017.00	Facility		$954.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $411.64 / $1,482.91 / $3,107.82	Professional		$411.64	$1,482.91	$3,107.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $2,851.60 / $4,737.50	Professional		$4.00	$2,851.60	$4,737.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $1,718.81 / $3,390.40	Professional		$493.00	$1,718.81	$3,390.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $450.76 / $1,233.05 / $2,498.82	Facility		$450.76	$1,233.05	$2,498.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $450.76 / $1,595.71 / $1,762.15	Professional		$450.76	$1,595.71	$1,762.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,732.17 / $2,108.71 / $3,530.09	Professional		$1,732.17	$2,108.71	$3,530.09