Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.54 / $3,839.00 / $8,113.00	Facility		$1,134.54	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.52 / $1,134.54 / $1,471.60	Professional		$1,002.52	$1,134.54	$1,471.60
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 $1,138.06 / $1,181.00 / $1,181.00	Professional		$1,138.06	$1,181.00	$1,181.00
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 $973.89 / $1,399.04 / $2,368.53	Professional		$973.89	$1,399.04	$2,368.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,554.65 / $2,554.65 / $2,554.65	Facility		$2,554.65	$2,554.65	$2,554.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.67 / $1,758.47 / $2,280.28	Professional		$1,374.67	$1,758.47	$2,280.28
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 $1,001.70 / $1,202.94 / $3,836.51	Professional		$1,001.70	$1,202.94	$3,836.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,471.30 / $1,471.30 / $1,471.30	Facility		$1,471.30	$1,471.30	$1,471.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.59 / $1,638.84 / $2,397.19	Professional		$1,170.59	$1,638.84	$2,397.19
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 $991.39 / $1,395.74 / $2,368.53	Professional		$991.39	$1,395.74	$2,368.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,093.41 / $1,112.17 / $1,112.17	Facility		$1,093.41	$1,112.17	$1,112.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,065.64 / $1,112.17 / $1,170.42	Professional		$1,065.64	$1,112.17	$1,170.42
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 $1,018.20 / $1,341.29 / $2,184.19	Professional		$1,018.20	$1,341.29	$2,184.19