Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,270.58 / $3,839.00 / $8,113.00	Facility		$1,270.58	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.82 / $1,263.03 / $1,890.75	Professional		$1,094.82	$1,263.03	$1,890.75
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 $1,271.64 / $1,319.63 / $1,319.63	Professional		$1,271.64	$1,319.63	$1,319.63
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 $1,045.71 / $1,504.27 / $2,592.06	Professional		$1,045.71	$1,504.27	$2,592.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,860.89 / $2,860.89 / $2,860.89	Facility		$2,860.89	$2,860.89	$2,860.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,537.87 / $1,975.10 / $2,553.19	Professional		$1,537.87	$1,975.10	$2,553.19
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 $1,007.10 / $1,303.15 / $3,062.47	Professional		$1,007.10	$1,303.15	$3,062.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,014.20 / $1,014.20 / $1,014.20	Facility		$1,014.20	$1,014.20	$1,014.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,359.60 / $3,220.20	Professional		$6.00	$1,359.60	$3,220.20
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 $1,064.33 / $1,501.82 / $2,592.06	Professional		$1,064.33	$1,501.82	$2,592.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $973.24 / $1,243.20 / $1,243.20	Facility		$973.24	$1,243.20	$1,243.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $973.24 / $1,243.20 / $1,310.95	Professional		$973.24	$1,243.20	$1,310.95
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 $1,066.81 / $1,432.08 / $2,434.05	Professional		$1,066.81	$1,432.08	$2,434.05