Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,113.00	Facility		$1,020.00	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,539.49 / $1,743.37 / $2,259.12	Professional		$1,539.49	$1,743.37	$2,259.12
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 $1,744.77 / $1,810.61 / $2,771.01	Professional		$1,744.77	$1,810.61	$2,771.01
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 $1,496.89 / $2,117.44 / $3,619.13	Professional		$1,496.89	$2,117.44	$3,619.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,916.54 / $3,916.54 / $3,916.54	Facility		$3,916.54	$3,916.54	$3,916.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,107.08 / $2,696.67 / $3,496.67	Professional		$2,107.08	$2,696.67	$3,496.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,501.90 / $1,837.33 / $5,457.00	Professional		$1,501.90	$1,837.33	$5,457.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,869.80 / $1,869.80 / $1,869.80	Facility		$1,869.80	$1,869.80	$1,869.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,231.80 / $4,392.60	Professional		$7.00	$2,231.80	$4,392.60
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 $1,517.45 / $2,113.08 / $3,619.13	Professional		$1,517.45	$2,113.08	$3,619.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,585.73 / $1,707.54 / $1,707.54	Facility		$1,585.73	$1,707.54	$1,707.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,585.73 / $1,707.54 / $1,797.23	Professional		$1,585.73	$1,707.54	$1,797.23
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 $1,519.36 / $1,984.35 / $3,389.98	Professional		$1,519.36	$1,984.35	$3,389.98