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 $1,604.95 / $1,703.60 / $2,085.09	Professional		$1,604.95	$1,703.60	$2,085.09
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 $1,482.58 / $1,538.53 / $1,538.53	Professional		$1,482.58	$1,538.53	$1,538.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,446.83 / $1,991.21 / $3,079.43	Professional		$1,446.83	$1,991.21	$3,079.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,234.96 / $2,234.96 / $2,380.17	Professional		$2,234.96	$2,234.96	$2,380.17
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 $1,426.00 / $1,785.16 / $5,958.00	Professional		$1,426.00	$1,785.16	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,773.80 / $3,635.80	Professional		$15.00	$1,773.80	$3,635.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,538.53 / $1,998.35 / $3,100.88	Professional		$1,538.53	$1,998.35	$3,100.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,452.56 / $1,452.56 / $1,499.29	Facility		$1,452.56	$1,452.56	$1,499.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,382.33 / $1,481.61 / $1,513.81	Professional		$1,382.33	$1,481.61	$1,513.81
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 $1,468.59 / $1,946.23 / $3,158.38	Professional		$1,468.59	$1,946.23	$3,158.38