Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,201.01 / $8,113.00	Facility		$1,301.00	$5,201.01	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,369.54 / $5,095.71 / $6,378.53	Professional		$4,369.54	$5,095.71	$6,378.53
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 $4,884.42 / $5,068.72 / $5,068.72	Professional		$4,884.42	$5,068.72	$5,068.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $5,609.84	Facility		$500.00	$800.00	$5,609.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,585.33 / $5,808.46 / $10,416.83	Professional		$2,585.33	$5,808.46	$10,416.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10,871.41 / $10,871.41 / $10,871.41	Facility		$10,871.41	$10,871.41	$10,871.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,856.99 / $7,427.26 / $9,738.68	Professional		$5,856.99	$7,427.26	$9,738.68
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 $4,224.46 / $5,137.31 / $8,938.58	Professional		$4,224.46	$5,137.31	$8,938.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $2,481.10	Facility		$2,481.10	$2,481.10	$2,481.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,259.90 / $12,126.50	Professional		$15.00	$3,259.90	$12,126.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $5,609.84	Facility		$500.00	$800.00	$5,609.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,472.90 / $5,759.93 / $10,416.83	Professional		$2,472.90	$5,759.93	$10,416.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,800.38 / $4,800.38 / $4,954.81	Facility		$4,800.38	$4,800.38	$4,954.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,581.38 / $4,897.74 / $5,019.95	Professional		$4,581.38	$4,897.74	$5,019.95
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 $3,835.97 / $5,623.57 / $9,914.35	Professional		$3,835.97	$5,623.57	$9,914.35