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 $1,097.34 / $1,308.38 / $1,587.89	Professional		$1,097.34	$1,308.38	$1,587.89
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 $1,134.66 / $1,177.47 / $1,741.73	Professional		$1,134.66	$1,177.47	$1,741.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.95 / $1,514.92 / $2,299.94	Professional		$1,123.95	$1,514.92	$2,299.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,739.57 / $1,739.57 / $1,827.07	Professional		$1,739.57	$1,739.57	$1,827.07
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 $1,028.71 / $1,370.50 / $5,878.84	Professional		$1,028.71	$1,370.50	$5,878.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $2,047.50 / $2,834.60	Professional		$25.00	$2,047.50	$2,834.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,158.20 / $1,531.19 / $2,299.94	Professional		$1,158.20	$1,531.19	$2,299.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,112.50 / $1,112.50 / $1,900.03	Facility		$1,112.50	$1,112.50	$1,900.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,064.30 / $1,132.33 / $1,900.03	Professional		$1,064.30	$1,132.33	$1,900.03
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 $1,066.53 / $1,483.06 / $2,503.90	Professional		$1,066.53	$1,483.06	$2,503.90