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 $1,882.21 / $2,145.21 / $2,688.50	Professional		$1,882.21	$2,145.21	$2,688.50
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 $1,917.31 / $1,989.66 / $1,989.66	Professional		$1,917.31	$1,989.66	$1,989.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,889.36 / $2,480.92 / $3,886.78	Professional		$1,889.36	$2,480.92	$3,886.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,925.71 / $2,925.71 / $3,084.40	Professional		$2,925.71	$2,925.71	$3,084.40
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 $1,687.15 / $2,311.58 / $5,958.00	Professional		$1,687.15	$2,311.58	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,456.80 / $4,764.20	Professional		$25.00	$3,456.80	$4,764.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,913.73 / $2,509.83 / $3,886.78	Professional		$1,913.73	$2,509.83	$3,886.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,880.77 / $1,880.77 / $3,267.07	Facility		$1,880.77	$1,880.77	$3,267.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,796.69 / $1,917.03 / $3,267.07	Professional		$1,796.69	$1,917.03	$3,267.07
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 $1,835.48 / $2,409.27 / $3,869.99	Professional		$1,835.48	$2,409.27	$3,869.99