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 $1,256.47 / $1,559.79 / $1,950.43	Professional		$1,256.47	$1,559.79	$1,950.43
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 $1,401.91 / $1,454.82 / $1,454.82	Professional		$1,401.91	$1,454.82	$1,454.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,240.98 / $1,757.30 / $2,848.22	Professional		$1,240.98	$1,757.30	$2,848.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,170.88 / $2,170.88 / $2,270.28	Professional		$2,170.88	$2,170.88	$2,270.28
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 $1,236.54 / $1,677.43 / $7,197.00	Professional		$1,236.54	$1,677.43	$7,197.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,601.90 / $3,529.20	Professional		$6.00	$1,601.90	$3,529.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,375.34 / $1,779.47 / $2,840.79	Professional		$1,375.34	$1,779.47	$2,840.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,270.40 / $1,369.75 / $1,369.75	Facility		$1,270.40	$1,369.75	$1,369.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,270.40 / $1,369.75 / $1,442.69	Professional		$1,270.40	$1,369.75	$1,442.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.70 / $1,888.00 / $4,789.00	Facility		$1,172.70	$1,888.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,290.17 / $1,754.65 / $2,830.28	Professional		$1,290.17	$1,754.65	$2,830.28