Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,964.00 / $8,451.00	Facility		$1,301.00	$3,964.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,550.89 / $1,893.31 / $4,603.22	Professional		$1,550.89	$1,893.31	$4,603.22
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 $1,493.38 / $2,233.89 / $3,227.59	Professional		$1,493.38	$2,233.89	$3,227.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,677.06 / $2,190.39 / $3,423.86	Professional		$1,677.06	$2,190.39	$3,423.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,583.44 / $2,583.44 / $2,724.21	Professional		$2,583.44	$2,583.44	$2,724.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,342.00 / $8,990.00	Facility		$1,013.00	$5,342.00	$8,990.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,498.60 / $2,031.44 / $5,958.00	Professional		$1,498.60	$2,031.44	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $3,023.90 / $4,205.10	Professional		$20.00	$3,023.90	$4,205.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,709.21 / $2,215.14 / $3,423.86	Professional		$1,709.21	$2,215.14	$3,423.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,526.98 / $1,660.39 / $1,780.62	Facility		$1,526.98	$1,660.39	$1,780.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,526.98 / $1,660.39 / $1,780.62	Professional		$1,526.98	$1,660.39	$1,780.62
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 $1,666.09 / $2,156.52 / $3,416.52	Professional		$1,666.09	$2,156.52	$3,416.52