Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,470.35 / $5,254.00 / $10,527.00	Facility		$1,470.35	$5,254.00	$10,527.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.54 / $1,374.61 / $1,780.71	Professional		$1,212.54	$1,374.61	$1,780.71
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 $1,373.53 / $1,425.36 / $1,425.36	Professional		$1,373.53	$1,425.36	$1,425.36
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 $1,176.40 / $1,677.57 / $2,872.74	Professional		$1,176.40	$1,677.57	$2,872.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,082.13 / $3,082.13 / $3,082.13	Facility		$3,082.13	$3,082.13	$3,082.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,658.63 / $2,120.83 / $2,751.43	Professional		$1,658.63	$2,120.83	$2,751.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,459.00 / $5,742.00 / $11,083.00	Facility		$1,459.00	$5,742.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,203.89 / $1,461.86 / $5,457.00	Professional		$1,203.89	$1,461.86	$5,457.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,245.80 / $1,245.80 / $1,245.80	Facility		$1,245.80	$1,245.80	$1,245.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,245.80 / $1,670.50 / $2,923.10	Professional		$1,245.80	$1,670.50	$2,923.10
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 $1,180.25 / $1,677.29 / $2,872.74	Professional		$1,180.25	$1,677.29	$2,872.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,178.53 / $1,345.59 / $1,345.59	Facility		$1,178.53	$1,345.59	$1,345.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,178.53 / $1,345.59 / $1,415.84	Professional		$1,178.53	$1,345.59	$1,415.84
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 $1,168.60 / $1,572.62 / $2,648.10	Professional		$1,168.60	$1,572.62	$2,648.10