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 $1,697.63 / $1,914.10 / $2,401.00	Professional		$1,697.63	$1,914.10	$2,401.00
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 $1,459.84 / $1,782.28 / $1,782.28	Professional		$1,459.84	$1,782.28	$1,782.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.60 / $2,227.40 / $3,485.58	Professional		$1,700.60	$2,227.40	$3,485.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,629.34 / $2,629.34 / $2,748.66	Professional		$2,629.34	$2,629.34	$2,748.66
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 $1,522.80 / $2,077.00 / $5,958.00	Professional		$1,522.80	$2,077.00	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $3,108.80 / $4,291.20	Professional		$20.00	$3,108.80	$4,291.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,756.26 / $2,243.03 / $3,485.58	Professional		$1,756.26	$2,243.03	$3,485.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,683.86 / $1,683.86 / $1,966.53	Facility		$1,683.86	$1,683.86	$1,966.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,612.54 / $1,712.32 / $1,966.53	Professional		$1,612.54	$1,712.32	$1,966.53
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,228.00	Facility		$656.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,645.45 / $2,223.56 / $3,465.55	Professional		$1,645.45	$2,223.56	$3,465.55