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 $2,024.76 / $2,301.73 / $2,984.25	Professional		$2,024.76	$2,301.73	$2,984.25
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 $2,299.71 / $2,386.48 / $2,386.48	Professional		$2,299.71	$2,386.48	$2,386.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,624.83	Facility		$500.00	$800.00	$2,624.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,973.22 / $2,810.87 / $4,814.25	Professional		$1,973.22	$2,810.87	$4,814.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,153.00 / $5,153.00 / $5,153.00	Facility		$5,153.00	$5,153.00	$5,153.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,774.87 / $3,539.09 / $4,600.68	Professional		$2,774.87	$3,539.09	$4,600.68
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 $2,024.50 / $2,413.10 / $5,958.00	Professional		$2,024.50	$2,413.10	$5,958.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,308.80 / $1,308.80 / $1,308.80	Facility		$1,308.80	$1,308.80	$1,308.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,670.80 / $5,771.90	Professional		$7.00	$1,670.80	$5,771.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,624.83	Facility		$500.00	$800.00	$2,624.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,976.51 / $2,794.35 / $4,814.25	Professional		$1,976.51	$2,794.35	$4,814.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,111.94 / $2,252.44 / $2,252.44	Facility		$2,111.94	$2,252.44	$2,252.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,111.94 / $2,252.44 / $2,367.01	Professional		$2,111.94	$2,252.44	$2,367.01
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 $1,938.47 / $2,683.68 / $4,613.54	Professional		$1,938.47	$2,683.68	$4,613.54