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 $1,217.17 / $1,372.27 / $1,784.38	Professional		$1,217.17	$1,372.27	$1,784.38
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 $1,378.00 / $1,430.00 / $1,430.00	Professional		$1,378.00	$1,430.00	$1,430.00
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 $1,169.11 / $1,667.13 / $2,855.34	Professional		$1,169.11	$1,667.13	$2,855.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,097.31 / $3,097.31 / $3,097.31	Facility		$3,097.31	$3,097.31	$3,097.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,665.81 / $2,135.44 / $2,764.12	Professional		$1,665.81	$2,135.44	$2,764.12
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 $1,192.70 / $1,456.23 / $4,617.02	Professional		$1,192.70	$1,456.23	$4,617.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,266.70 / $1,266.70 / $1,266.70	Facility		$1,266.70	$1,266.70	$1,266.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,725.50 / $3,440.60	Professional		$7.00	$1,725.50	$3,440.60
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 $1,171.08 / $1,667.13 / $2,855.34	Professional		$1,171.08	$1,667.13	$2,855.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,255.80 / $1,349.99 / $1,349.99	Facility		$1,255.80	$1,349.99	$1,349.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,255.80 / $1,349.99 / $1,422.47	Professional		$1,255.80	$1,349.99	$1,422.47
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 $1,190.54 / $1,570.24 / $2,765.35	Professional		$1,190.54	$1,570.24	$2,765.35