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 $1,924.37 / $2,179.73 / $2,818.06	Professional		$1,924.37	$2,179.73	$2,818.06
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 $2,173.46 / $2,255.48 / $4,076.51	Professional		$2,173.46	$2,255.48	$4,076.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,477.98	Facility		$500.00	$800.00	$2,477.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,910.92 / $2,663.35 / $4,561.59	Professional		$1,910.92	$2,663.35	$4,561.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,882.89 / $4,882.89 / $4,882.89	Facility		$4,882.89	$4,882.89	$4,882.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,626.46 / $3,364.87 / $4,358.27	Professional		$2,626.46	$3,364.87	$4,358.27
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 $1,885.59 / $2,284.53 / $5,958.00	Professional		$1,885.59	$2,284.53	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $4,208.50 / $5,506.00	Professional		$7.00	$4,208.50	$5,506.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,477.98	Facility		$500.00	$800.00	$2,477.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,912.41 / $2,651.22 / $4,561.59	Professional		$1,912.41	$2,651.22	$4,561.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,012.30 / $2,131.42 / $2,131.42	Facility		$2,012.30	$2,131.42	$2,131.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,012.30 / $2,131.42 / $2,245.10	Professional		$2,012.30	$2,131.42	$2,245.10
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 $1,908.96 / $2,587.39 / $4,374.89	Professional		$1,908.96	$2,587.39	$4,374.89