Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,304.00 / $8,240.00	Facility		$882.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.20 / $644.01 / $868.71	Professional		$593.20	$644.01	$868.71
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 $631.71 / $655.54 / $1,166.29	Professional		$631.71	$655.54	$1,166.29
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 $506.56 / $664.81 / $1,144.43	Professional		$506.56	$664.81	$1,144.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $760.08 / $760.08 / $980.15	Professional		$760.08	$760.08	$980.15
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 $616.52 / $768.71 / $4,831.00	Professional		$616.52	$768.71	$4,831.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $604.50 / $604.50 / $604.50	Professional		$604.50	$604.50	$604.50
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 $509.60 / $678.51 / $1,144.43	Professional		$509.60	$678.51	$1,144.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $618.38 / $618.38 / $683.66	Facility		$618.38	$618.38	$683.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $605.97 / $618.38 / $683.66	Professional		$605.97	$618.38	$683.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,368.00	Facility		$1,440.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.79 / $701.70 / $1,214.39	Professional		$519.79	$701.70	$1,214.39