Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,286.79 / $3,839.00 / $8,113.00	Facility		$1,286.79	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.58 / $1,300.97 / $1,671.20	Professional		$1,209.58	$1,300.97	$1,671.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,292.71 / $1,341.49 / $1,341.49	Professional		$1,292.71	$1,341.49	$1,341.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,616.12 / $2,746.66	Professional		$1,200.00	$1,616.12	$2,746.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,897.16 / $2,897.16 / $2,897.16	Facility		$2,897.16	$2,897.16	$2,897.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.03 / $1,995.59 / $2,591.89	Professional		$1,557.03	$1,995.59	$2,591.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,147.29 / $1,362.50 / $4,348.18	Professional		$1,147.29	$1,362.50	$4,348.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,542.10 / $1,542.10 / $1,542.10	Facility		$1,542.10	$1,542.10	$1,542.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,855.90 / $3,238.00	Professional		$15.00	$1,855.90	$3,238.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.54 / $1,595.71 / $2,746.66	Professional		$1,219.54	$1,595.71	$2,746.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,263.68 / $1,263.68 / $1,419.94	Facility		$1,263.68	$1,263.68	$1,419.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,211.45 / $1,283.60 / $1,419.94	Professional		$1,211.45	$1,283.60	$1,419.94
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,158.56 / $1,525.74 / $2,571.53	Professional		$1,158.56	$1,525.74	$2,571.53