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 $737.44 / $858.05 / $1,130.33	Professional		$737.44	$858.05	$1,130.33
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 $801.73 / $1,295.49 / $1,812.59	Professional		$801.73	$1,295.49	$1,812.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.20 / $1,171.25 / $1,835.71	Professional		$863.20	$1,171.25	$1,835.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.02 / $1,427.90 / $1,427.90	Professional		$1,074.02	$1,427.90	$1,427.90
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 $759.81 / $903.68 / $2,843.00	Professional		$759.81	$903.68	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,071.20 / $2,303.30	Professional		$6.00	$1,071.20	$2,303.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $866.26 / $1,176.16 / $1,980.13	Professional		$866.26	$1,176.16	$1,980.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $854.34 / $896.30 / $896.30	Facility		$854.34	$896.30	$896.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $854.34 / $896.30 / $941.19	Professional		$854.34	$896.30	$941.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,222.00 / $3,475.00 / $6,000.00	Facility		$2,222.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $840.16 / $1,141.35 / $1,964.72	Professional		$840.16	$1,141.35	$1,964.72