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 $1,212.47 / $1,338.46 / $1,689.67	Professional		$1,212.47	$1,338.46	$1,689.67
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 $1,308.39 / $1,357.76 / $1,357.76	Professional		$1,308.39	$1,357.76	$1,357.76
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 $1,173.57 / $1,613.20 / $2,773.17	Professional		$1,173.57	$1,613.20	$2,773.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,932.97 / $2,932.97 / $2,932.97	Facility		$2,932.97	$2,932.97	$2,932.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,576.12 / $2,020.85 / $2,623.86	Professional		$1,576.12	$2,020.85	$2,623.86
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 $1,155.86 / $1,378.90 / $4,400.43	Professional		$1,155.86	$1,378.90	$4,400.43
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,139.00 / $1,139.00	Facility		$1,139.00	$1,139.00	$1,139.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,525.20 / $3,277.30	Professional		$15.00	$1,525.20	$3,277.30
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 $1,200.00 / $1,604.63 / $2,773.17	Professional		$1,200.00	$1,604.63	$2,773.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,098.13 / $1,277.96 / $1,277.96	Facility		$1,098.13	$1,277.96	$1,277.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,098.13 / $1,277.96 / $1,344.08	Professional		$1,098.13	$1,277.96	$1,344.08
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 $1,126.83 / $1,535.73 / $2,648.96	Professional		$1,126.83	$1,535.73	$2,648.96