Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,056.00 / $2,747.00 / $8,017.00	Facility		$1,056.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.83 / $1,004.85 / $1,460.97	Professional		$829.83	$1,004.85	$1,460.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,108.86 / $1,150.71 / $1,684.41	Professional		$1,108.86	$1,150.71	$1,684.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,255.83 / $1,255.83 / $1,255.83	Facility		$1,255.83	$1,255.83	$1,255.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.23 / $1,200.40 / $2,055.83	Professional		$831.23	$1,200.40	$2,055.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,330.49 / $1,876.59 / $2,298.13	Professional		$1,330.49	$1,876.59	$2,298.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,077.00 / $8,017.00	Facility		$1,013.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $935.72 / $1,143.73 / $4,575.00	Professional		$935.72	$1,143.73	$4,575.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $988.90 / $988.90 / $2,210.80	Professional		$988.90	$988.90	$2,210.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,255.83 / $1,255.83 / $1,255.83	Facility		$1,255.83	$1,255.83	$1,255.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $889.19 / $1,255.32 / $2,055.83	Professional		$889.19	$1,255.32	$2,055.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $967.19 / $1,075.89 / $1,075.89	Facility		$967.19	$1,075.89	$1,075.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $967.19 / $1,075.89 / $1,143.41	Professional		$967.19	$1,075.89	$1,143.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $912.14 / $1,298.81 / $1,955.63	Professional		$912.14	$1,298.81	$1,955.63