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 $1,812.18 / $2,029.91 / $2,567.10	Professional		$1,812.18	$2,029.91	$2,567.10
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 $1,833.76 / $1,902.96 / $1,902.96	Professional		$1,833.76	$1,902.96	$1,902.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,815.02 / $2,359.13 / $3,722.90	Professional		$1,815.02	$2,359.13	$3,722.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,802.81 / $2,802.81 / $2,933.86	Professional		$2,802.81	$2,802.81	$2,933.86
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 $1,625.61 / $2,208.69 / $4,436.82	Professional		$1,625.61	$2,208.69	$4,436.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $3,004.20 / $4,578.20	Professional		$20.00	$3,004.20	$4,578.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,832.34 / $2,379.26 / $3,722.90	Professional		$1,832.34	$2,379.26	$3,722.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,799.44 / $1,799.44 / $1,816.44	Facility		$1,799.44	$1,799.44	$1,816.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,722.39 / $1,816.44 / $1,884.00	Professional		$1,722.39	$1,816.44	$1,884.00
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,731.62 / $2,313.71 / $3,706.42	Professional		$1,731.62	$2,313.71	$3,706.42