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 $1,499.43 / $1,869.19 / $2,386.73	Professional		$1,499.43	$1,869.19	$2,386.73
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 $1,703.59 / $1,767.88 / $1,767.88	Professional		$1,703.59	$1,767.88	$1,767.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,656.88 / $2,177.16 / $3,406.86	Professional		$1,656.88	$2,177.16	$3,406.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,602.85 / $2,602.85 / $2,741.74	Professional		$2,602.85	$2,602.85	$2,741.74
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 $1,499.43 / $1,925.83 / $4,394.70	Professional		$1,499.43	$1,925.83	$4,394.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $3,072.00 / $4,236.30	Professional		$20.00	$3,072.00	$4,236.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,696.64 / $2,180.67 / $3,406.86	Professional		$1,696.64	$2,180.67	$3,406.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,649.17 / $1,670.30 / $1,670.30	Facility		$1,649.17	$1,670.30	$1,670.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,596.19 / $1,670.30 / $1,749.70	Professional		$1,596.19	$1,670.30	$1,749.70
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 $1,599.47 / $2,038.13 / $3,499.14	Professional		$1,599.47	$2,038.13	$3,499.14