Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $5,350.00 / $8,247.00	Facility		$1,020.00	$5,350.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,159.38 / $5,708.27 / $8,468.26	Professional		$5,159.38	$5,708.27	$8,468.26
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 $5,714.79 / $5,930.44 / $5,930.44	Professional		$5,714.79	$5,930.44	$5,930.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,539.49 / $7,561.95 / $11,907.61	Professional		$5,539.49	$7,561.95	$11,907.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,852.58 / $9,187.20 / $9,187.20	Professional		$6,852.58	$9,187.20	$9,187.20
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 $5,046.81 / $5,891.49 / $10,002.40	Professional		$5,046.81	$5,891.49	$10,002.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,767.10 / $14,185.60	Professional		$7.00	$2,767.10	$14,185.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5,539.49 / $7,645.52 / $12,826.51	Professional		$5,539.49	$7,645.52	$12,826.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,894.63 / $5,616.80 / $5,616.80	Facility		$4,894.63	$5,616.80	$5,616.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,894.63 / $5,616.80 / $5,873.41	Professional		$4,894.63	$5,616.80	$5,873.41
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,639.03 / $7,048.07 / $12,100.38	Professional		$4,639.03	$7,048.07	$12,100.38