Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,830.00 / $8,240.00	Facility		$976.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.79 / $694.45 / $1,138.57	Professional		$593.79	$694.45	$1,138.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $704.68 / $731.27 / $1,266.68	Professional		$704.68	$731.27	$1,266.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $797.54 / $797.54 / $797.54	Facility		$797.54	$797.54	$797.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.30 / $861.50 / $1,394.23	Professional		$634.30	$861.50	$1,394.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $834.88 / $1,131.13 / $1,442.06	Professional		$834.88	$1,131.13	$1,442.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,534.00 / $8,404.00	Facility		$1,020.00	$4,534.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $597.37 / $788.52 / $3,643.57	Professional		$597.37	$788.52	$3,643.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $705.80 / $705.80 / $1,440.70	Professional		$705.80	$705.80	$1,440.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $797.54 / $797.54 / $797.54	Facility		$797.54	$797.54	$797.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $634.30 / $871.13 / $1,405.93	Professional		$634.30	$871.13	$1,405.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $679.80 / $680.11 / $680.11	Facility		$679.80	$680.11	$680.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $660.56 / $680.11 / $721.67	Professional		$660.56	$680.11	$721.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $665.72 / $871.22 / $1,312.31	Professional		$665.72	$871.22	$1,312.31