Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,247.00	Facility		$1,020.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.63 / $2,038.57 / $2,672.38	Professional		$1,819.63	$2,038.57	$2,672.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,758.35 / $2,851.86 / $3,872.12	Professional		$1,758.35	$2,851.86	$3,872.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,840.90 / $2,572.05 / $4,045.49	Professional		$1,840.90	$2,572.05	$4,045.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,356.48 / $3,125.82 / $3,129.26	Professional		$2,356.48	$3,125.82	$3,129.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,819.63 / $2,078.54 / $5,306.66	Professional		$1,819.63	$2,078.54	$5,306.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,935.00 / $5,135.39	Professional		$7.00	$1,935.00	$5,135.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.47 / $2,585.39 / $4,277.72	Professional		$1,906.47	$2,585.39	$4,277.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,915.04 / $1,973.10 / $1,973.10	Facility		$1,915.04	$1,973.10	$1,973.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,915.04 / $1,973.10 / $2,081.82	Professional		$1,915.04	$1,973.10	$2,081.82
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,679.95 / $2,489.44 / $4,240.93	Professional		$1,679.95	$2,489.44	$4,240.93