Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,526.00 / $13,947.00	Facility		$1,426.00	$5,526.00	$13,947.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,293.72 / $1,452.48 / $1,826.56	Professional		$1,293.72	$1,452.48	$1,826.56
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 $1,301.76 / $1,350.89 / $2,001.37	Professional		$1,301.76	$1,350.89	$2,001.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,284.56 / $1,695.06 / $2,641.32	Professional		$1,284.56	$1,695.06	$2,641.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,979.55 / $1,979.55 / $2,080.33	Professional		$1,979.55	$1,979.55	$2,080.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,526.00 / $13,969.00	Facility		$1,013.00	$5,526.00	$13,969.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,258.69 / $1,573.92 / $5,958.00	Professional		$1,258.69	$1,573.92	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,263.50 / $3,236.10	Professional		$15.00	$2,263.50	$3,236.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,335.29 / $1,699.70 / $2,641.32	Professional		$1,335.29	$1,699.70	$2,641.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,278.33 / $1,278.33 / $1,429.48	Facility		$1,278.33	$1,278.33	$1,429.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,221.52 / $1,302.48 / $1,429.48	Professional		$1,221.52	$1,302.48	$1,429.48
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 $1,294.44 / $1,691.94 / $2,631.26	Professional		$1,294.44	$1,691.94	$2,631.26