Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.32 / $3,748.00 / $8,017.00	Facility		$1,110.32	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.71 / $1,110.32 / $1,433.34	Professional		$981.71	$1,110.32	$1,433.34
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 $1,111.51 / $1,153.45 / $2,036.69	Professional		$1,111.51	$1,153.45	$2,036.69
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 $920.43 / $1,323.79 / $2,298.16	Professional		$920.43	$1,323.79	$2,298.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,505.09 / $2,505.09 / $2,505.09	Facility		$2,505.09	$2,505.09	$2,505.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.74 / $1,733.11 / $2,234.96	Professional		$1,345.74	$1,733.11	$2,234.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,964.00 / $8,017.00	Facility		$1,020.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $936.78 / $1,191.95 / $3,787.04	Professional		$936.78	$1,191.95	$3,787.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,151.19 / $2,827.00	Professional		$5.00	$2,151.19	$2,827.00
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 $920.43 / $1,323.79 / $2,298.16	Professional		$920.43	$1,323.79	$2,298.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $825.37 / $985.80 / $1,086.55	Facility		$825.37	$985.80	$1,086.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $825.37 / $1,086.55 / $1,147.50	Professional		$825.37	$1,086.55	$1,147.50
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 $933.42 / $1,242.65 / $2,126.80	Professional		$933.42	$1,242.65	$2,126.80