Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.00 / $3,964.00 / $8,240.00	Facility		$926.00	$3,964.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.65 / $1,968.77 / $2,735.46	Professional		$422.65	$1,968.77	$2,735.46
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 $1,945.63 / $2,019.05 / $4,378.78	Professional		$1,945.63	$2,019.05	$4,378.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.96 / $1,560.18 / $3,224.90	Professional		$395.96	$1,560.18	$3,224.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,463.26 / $2,463.26 / $3,176.43	Professional		$2,463.26	$2,463.26	$3,176.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $422.65 / $2,042.06 / $3,734.45	Professional		$422.65	$2,042.06	$3,734.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,389.80 / $2,389.80 / $2,389.80	Professional		$2,389.80	$2,389.80	$2,389.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $398.68 / $1,776.20 / $3,224.90	Professional		$398.68	$1,776.20	$3,224.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $421.37 / $424.46 / $2,211.35	Facility		$421.37	$424.46	$2,211.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $421.37 / $2,015.88 / $2,246.62	Professional		$421.37	$2,015.88	$2,246.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,228.00 / $3,879.00 / $7,508.00	Facility		$2,228.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,016.10 / $2,621.21 / $4,294.97	Professional		$2,016.10	$2,621.21	$4,294.97