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 $1,242.64 / $1,339.88 / $1,718.87	Professional		$1,242.64	$1,339.88	$1,718.87
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 $1,326.80 / $1,376.87 / $1,376.87	Professional		$1,326.80	$1,376.87	$1,376.87
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 $1,225.28 / $1,645.37 / $2,817.41	Professional		$1,225.28	$1,645.37	$2,817.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,969.19 / $2,969.19 / $2,969.19	Facility		$2,969.19	$2,969.19	$2,969.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,596.62 / $2,041.57 / $2,656.97	Professional		$1,596.62	$2,041.57	$2,656.97
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 $1,186.92 / $1,395.94 / $4,454.27	Professional		$1,186.92	$1,395.94	$4,454.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $1,375.00 / $1,375.00	Facility		$1,375.00	$1,375.00	$1,375.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,689.60 / $3,314.50	Professional		$15.00	$1,689.60	$3,314.50
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 $1,239.69 / $1,633.71 / $2,817.41	Professional		$1,239.69	$1,633.71	$2,817.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,298.33 / $1,298.33 / $1,337.00	Facility		$1,298.33	$1,298.33	$1,337.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,243.41 / $1,320.13 / $1,363.68	Professional		$1,243.41	$1,320.13	$1,363.68
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 $1,174.44 / $1,552.11 / $2,578.54	Professional		$1,174.44	$1,552.11	$2,578.54