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 $1,975.76 / $2,695.71 / $3,380.12	Professional		$1,975.76	$2,695.71	$3,380.12
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 $2,407.34 / $2,498.19 / $2,498.19	Professional		$2,407.34	$2,498.19	$2,498.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,119.91 / $2,952.41 / $4,774.37	Professional		$2,119.91	$2,952.41	$4,774.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,668.33 / $3,668.33 / $3,871.75	Professional		$3,668.33	$3,668.33	$3,871.75
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 $1,975.76 / $2,891.47 / $5,958.00	Professional		$1,975.76	$2,891.47	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $3,873.70 / $5,976.30	Professional		$20.00	$3,873.70	$5,976.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,134.85 / $2,952.41 / $4,774.37	Professional		$2,134.85	$2,952.41	$4,774.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,048.60 / $2,363.55 / $2,363.55	Facility		$2,048.60	$2,363.55	$2,363.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,048.60 / $2,363.55 / $2,473.53	Professional		$2,048.60	$2,363.55	$2,473.53
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 $1,981.93 / $2,851.36 / $4,962.47	Professional		$1,981.93	$2,851.36	$4,962.47