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 $2,358.52 / $2,685.77 / $3,956.01	Professional		$2,358.52	$2,685.77	$3,956.01
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 $2,694.42 / $2,796.10 / $2,796.10	Professional		$2,694.42	$2,796.10	$2,796.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,070.20	Facility		$500.00	$800.00	$3,070.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,305.73 / $3,238.23 / $5,463.71	Professional		$2,305.73	$3,238.23	$5,463.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,043.09 / $6,043.09 / $6,043.09	Facility		$6,043.09	$6,043.09	$6,043.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,252.69 / $4,155.71 / $5,395.14	Professional		$3,252.69	$4,155.71	$5,395.14
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 $2,334.84 / $2,854.68 / $5,457.00	Professional		$2,334.84	$2,854.68	$5,457.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,496.90 / $2,496.90 / $2,496.90	Facility		$2,496.90	$2,496.90	$2,496.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,367.50 / $6,748.70	Professional		$15.00	$3,367.50	$6,748.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,070.20	Facility		$500.00	$800.00	$3,070.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,305.73 / $3,212.77 / $5,463.71	Professional		$2,305.73	$3,212.77	$5,463.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,523.02 / $2,632.39 / $2,632.39	Facility		$2,523.02	$2,632.39	$2,632.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,521.21 / $2,632.39 / $2,768.26	Professional		$2,521.21	$2,632.39	$2,768.26
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 $2,311.86 / $3,082.48 / $5,240.37	Professional		$2,311.86	$3,082.48	$5,240.37