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 $1,163.19 / $1,379.80 / $1,731.37	Professional		$1,163.19	$1,379.80	$1,731.37
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 $1,093.27 / $1,631.69 / $2,354.69	Professional		$1,093.27	$1,631.69	$2,354.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.35 / $1,578.52 / $2,516.77	Professional		$1,214.35	$1,578.52	$2,516.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,902.57 / $1,902.57 / $1,985.06	Professional		$1,902.57	$1,902.57	$1,985.06
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 $1,163.19 / $1,499.70 / $5,958.00	Professional		$1,163.19	$1,499.70	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,119.50 / $3,104.90	Professional		$15.00	$2,119.50	$3,104.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,246.90 / $1,606.74 / $2,516.77	Professional		$1,246.90	$1,606.74	$2,516.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,215.27 / $1,215.27 / $1,637.82	Facility		$1,215.27	$1,215.27	$1,637.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,164.51 / $1,234.83 / $1,637.82	Professional		$1,164.51	$1,234.83	$1,637.82
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 $1,165.73 / $1,608.51 / $2,488.10	Professional		$1,165.73	$1,608.51	$2,488.10