Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.00 / $5,079.00 / $9,534.00	Facility		$1,462.00	$5,079.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.85 / $1,369.92 / $1,720.58	Professional		$1,153.85	$1,369.92	$1,720.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,092.79 / $1,586.00 / $2,304.42	Professional		$1,092.79	$1,586.00	$2,304.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,194.11 / $1,591.04 / $2,481.84	Professional		$1,194.11	$1,591.04	$2,481.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,918.54 / $1,918.54 / $1,958.37	Professional		$1,918.54	$1,918.54	$1,958.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,350.00 / $9,830.00	Facility		$1,301.00	$5,350.00	$9,830.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,123.69 / $1,478.89 / $6,370.00	Professional		$1,123.69	$1,478.89	$6,370.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,373.20 / $3,099.50	Professional		$10.00	$1,373.20	$3,099.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.54 / $1,595.76 / $2,481.84	Professional		$1,221.54	$1,595.76	$2,481.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,161.02 / $1,215.58 / $1,215.58	Facility		$1,161.02	$1,215.58	$1,215.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,161.02 / $1,215.58 / $1,276.94	Professional		$1,161.02	$1,215.58	$1,276.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,000.00	Facility		$1,440.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,167.54 / $1,487.96 / $2,531.09	Professional		$1,167.54	$1,487.96	$2,531.09