Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,839.00 / $8,113.00	Facility		$1,301.00	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,506.00 / $3,422.07 / $4,455.39	Professional		$2,506.00	$3,422.07	$4,455.39
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 $3,369.44 / $3,496.59 / $3,496.59	Professional		$3,369.44	$3,496.59	$3,496.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,904.99	Facility		$500.00	$800.00	$3,904.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,542.67 / $3,814.47 / $6,877.08	Professional		$2,542.67	$3,814.47	$6,877.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7,515.23 / $7,515.23 / $7,515.23	Facility		$7,515.23	$7,515.23	$7,515.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,936.55 / $5,147.07 / $6,729.37	Professional		$3,936.55	$5,147.07	$6,729.37
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 $2,506.00 / $3,596.99 / $10,817.74	Professional		$2,506.00	$3,596.99	$10,817.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,383.19 / $2,383.19 / $2,383.19	Facility		$2,383.19	$2,383.19	$2,383.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,193.80 / $8,529.00	Professional		$15.00	$3,193.80	$8,529.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,904.99	Facility		$500.00	$800.00	$3,904.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,542.67 / $3,814.47 / $6,778.73	Professional		$2,542.67	$3,814.47	$6,778.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,925.77 / $3,359.89 / $3,359.89	Facility		$2,925.77	$3,359.89	$3,359.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,925.77 / $3,359.89 / $3,522.37	Professional		$2,925.77	$3,359.89	$3,522.37
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 $2,542.91 / $3,753.14 / $6,740.46	Professional		$2,542.91	$3,753.14	$6,740.46