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 $1,308.34 / $1,505.50 / $1,891.45	Professional		$1,308.34	$1,505.50	$1,891.45
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 $1,350.91 / $1,401.88 / $1,401.88	Professional		$1,350.91	$1,401.88	$1,401.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.04 / $1,720.50 / $2,710.33	Professional		$1,305.04	$1,720.50	$2,710.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,065.08 / $2,065.08 / $2,161.77	Professional		$2,065.08	$2,065.08	$2,161.77
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 $1,205.89 / $1,635.83 / $3,444.00	Professional		$1,205.89	$1,635.83	$3,444.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,046.80 / $3,377.00	Professional		$15.00	$2,046.80	$3,377.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.17 / $1,753.23 / $2,710.33	Professional		$1,338.17	$1,753.23	$2,710.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,325.99 / $1,325.99 / $1,400.18	Facility		$1,325.99	$1,325.99	$1,400.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,269.59 / $1,348.89 / $1,400.18	Professional		$1,269.59	$1,348.89	$1,400.18
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 $1,275.28 / $1,698.59 / $2,783.73	Professional		$1,275.28	$1,698.59	$2,783.73