Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,761.00 / $10,527.00	Facility		$1,301.00	$4,761.00	$10,527.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,299.44 / $1,393.78 / $1,795.58	Professional		$1,299.44	$1,393.78	$1,795.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $26,041.54 / $39,341.64	Facility		$8,639.91	$26,041.54	$39,341.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,386.28 / $1,438.59 / $1,438.59	Professional		$1,386.28	$1,438.59	$1,438.59
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 $1,275.00 / $1,718.83 / $2,942.72	Professional		$1,275.00	$1,718.83	$2,942.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,101.24 / $3,101.24 / $3,101.24	Facility		$3,101.24	$3,101.24	$3,101.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,667.76 / $2,131.66 / $2,775.47	Professional		$1,667.76	$2,131.66	$2,775.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,342.00 / $10,527.00	Facility		$1,013.00	$5,342.00	$10,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,222.82 / $1,457.62 / $4,655.05	Professional		$1,222.82	$1,457.62	$4,655.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.60 / $1,462.60 / $1,462.60	Facility		$1,462.60	$1,462.60	$1,462.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,761.40 / $3,463.20	Professional		$15.00	$1,761.40	$3,463.20
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 $1,279.86 / $1,706.49 / $2,942.72	Professional		$1,279.86	$1,706.49	$2,942.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,217.51 / $1,356.09 / $1,356.09	Facility		$1,217.51	$1,356.09	$1,356.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,217.51 / $1,356.09 / $1,423.90	Professional		$1,217.51	$1,356.09	$1,423.90
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 $1,242.46 / $1,644.78 / $2,743.40	Professional		$1,242.46	$1,644.78	$2,743.40