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 $1,303.54 / $1,475.94 / $1,908.82	Professional		$1,303.54	$1,475.94	$1,908.82
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 $1,473.94 / $1,529.56 / $1,529.56	Professional		$1,473.94	$1,529.56	$1,529.56
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 $1,261.57 / $1,793.74 / $3,072.19	Professional		$1,261.57	$1,793.74	$3,072.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.34 / $3,311.34 / $3,311.34	Facility		$3,311.34	$3,311.34	$3,311.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,781.13 / $2,281.89 / $2,955.61	Professional		$1,781.13	$2,281.89	$2,955.61
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 $1,279.50 / $1,547.40 / $5,002.09	Professional		$1,279.50	$1,547.40	$5,002.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,352.80 / $1,352.80 / $1,352.80	Facility		$1,352.80	$1,352.80	$1,352.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,848.50 / $3,727.50	Professional		$7.00	$1,848.50	$3,727.50
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 $1,267.29 / $1,793.74 / $3,072.19	Professional		$1,267.29	$1,793.74	$3,072.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,344.76 / $1,443.72 / $1,443.72	Facility		$1,344.76	$1,443.72	$1,443.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,344.76 / $1,443.72 / $1,520.62	Professional		$1,344.76	$1,443.72	$1,520.62
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 $1,270.27 / $1,690.42 / $2,841.60	Professional		$1,270.27	$1,690.42	$2,841.60