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 $1,178.85 / $1,334.17 / $1,977.17	Professional		$1,178.85	$1,334.17	$1,977.17
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 $1,337.01 / $1,387.46 / $1,387.46	Professional		$1,337.01	$1,387.46	$1,387.46
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 $1,145.35 / $1,625.42 / $2,783.90	Professional		$1,145.35	$1,625.42	$2,783.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,002.03 / $3,002.03 / $3,002.03	Facility		$3,002.03	$3,002.03	$3,002.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,615.05 / $2,067.42 / $2,679.84	Professional		$1,615.05	$2,067.42	$2,679.84
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 $1,168.58 / $1,427.63 / $4,514.89	Professional		$1,168.58	$1,427.63	$4,514.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $1,190.00 / $1,190.00	Facility		$1,190.00	$1,190.00	$1,190.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,599.90 / $3,363.10	Professional		$7.00	$1,599.90	$3,363.10
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 $1,146.66 / $1,625.42 / $2,783.90	Professional		$1,146.66	$1,625.42	$2,783.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,121.52 / $1,307.11 / $1,307.11	Facility		$1,121.52	$1,307.11	$1,307.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,121.52 / $1,307.11 / $1,375.98	Professional		$1,121.52	$1,307.11	$1,375.98
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 $1,161.58 / $1,546.66 / $2,709.61	Professional		$1,161.58	$1,546.66	$2,709.61