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 $1,741.86 / $1,978.75 / $2,566.57	Professional		$1,741.86	$1,978.75	$2,566.57
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 $1,979.59 / $2,054.29 / $2,054.29	Professional		$1,979.59	$2,054.29	$2,054.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,258.30	Facility		$500.00	$800.00	$2,258.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,696.08 / $2,394.04 / $4,100.34	Professional		$1,696.08	$2,394.04	$4,100.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,436.39 / $4,436.39 / $4,436.39	Facility		$4,436.39	$4,436.39	$4,436.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,388.58 / $3,047.93 / $3,961.20	Professional		$2,388.58	$3,047.93	$3,961.20
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 $1,734.65 / $2,104.87 / $5,631.89	Professional		$1,734.65	$2,104.87	$5,631.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,625.30 / $1,625.30 / $1,625.30	Facility		$1,625.30	$1,625.30	$1,625.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,181.69 / $4,963.70	Professional		$7.00	$2,181.69	$4,963.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,258.30	Facility		$500.00	$800.00	$2,258.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,699.14 / $2,394.04 / $4,100.34	Professional		$1,699.14	$2,394.04	$4,100.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,673.33 / $1,937.39 / $1,937.39	Facility		$1,673.33	$1,937.39	$1,937.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,673.33 / $1,937.39 / $2,036.21	Professional		$1,673.33	$1,937.39	$2,036.21
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 $1,671.34 / $2,246.78 / $3,823.75	Professional		$1,671.34	$2,246.78	$3,823.75