Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $2,747.00 / $8,247.00	Facility		$1,301.00	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.97 / $1,613.16 / $2,375.56	Professional		$1,461.97	$1,613.16	$2,375.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,624.58 / $1,685.88 / $1,685.88	Professional		$1,624.58	$1,685.88	$1,685.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,838.16 / $1,838.16 / $1,838.16	Facility		$1,838.16	$1,838.16	$1,838.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,481.16 / $1,979.48 / $3,271.03	Professional		$1,481.16	$1,979.48	$3,271.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,912.53 / $2,596.73 / $3,303.45	Professional		$1,912.53	$2,596.73	$3,303.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,461.97 / $1,683.36 / $5,958.00	Professional		$1,461.97	$1,683.36	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,011.00 / $2,011.00 / $3,306.50	Professional		$2,011.00	$2,011.00	$3,306.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,838.16 / $1,838.16 / $1,838.16	Facility		$1,838.16	$1,838.16	$1,838.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,508.01 / $2,007.12 / $3,335.49	Professional		$1,508.01	$2,007.12	$3,335.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,585.58 / $1,585.58 / $2,187.61	Facility		$1,585.58	$1,585.58	$2,187.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,532.33 / $1,598.31 / $2,187.61	Professional		$1,532.33	$1,598.31	$2,187.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,515.00 / $12,076.00	Facility		$3,340.00	$6,515.00	$12,076.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,454.31 / $1,971.41 / $3,087.80	Professional		$1,454.31	$1,971.41	$3,087.80