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 $1,237.95 / $1,354.21 / $1,711.86	Professional		$1,237.95	$1,354.21	$1,711.86
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 $1,315.71 / $1,901.14 / $2,929.21	Professional		$1,315.71	$1,901.14	$2,929.21
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 $1,189.48 / $1,782.43 / $2,942.89	Professional		$1,189.48	$1,782.43	$2,942.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,936.24 / $2,936.24 / $2,936.24	Facility		$2,936.24	$2,936.24	$2,936.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,580.37 / $2,012.50 / $2,629.06	Professional		$1,580.37	$2,012.50	$2,629.06
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 $1,190.42 / $1,381.40 / $4,415.27	Professional		$1,190.42	$1,381.40	$4,415.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,563.70 / $1,563.70 / $1,563.70	Facility		$1,563.70	$1,563.70	$1,563.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,769.30 / $3,280.80	Professional		$12.00	$1,769.30	$3,280.80
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 $1,189.48 / $1,736.25 / $2,921.54	Professional		$1,189.48	$1,736.25	$2,921.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,290.74 / $1,290.74 / $1,500.54	Facility		$1,290.74	$1,290.74	$1,500.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,234.02 / $1,314.60 / $1,500.54	Professional		$1,234.02	$1,314.60	$1,500.54
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 $1,213.58 / $1,654.24 / $2,646.44	Professional		$1,213.58	$1,654.24	$2,646.44