Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,247.00	Facility		$1,020.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.99 / $1,447.41 / $1,846.49	Professional		$1,288.99	$1,447.41	$1,846.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,279.18 / $2,039.61 / $2,739.90	Professional		$1,279.18	$2,039.61	$2,739.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,400.20 / $1,874.08 / $2,958.43	Professional		$1,400.20	$1,874.08	$2,958.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,684.17 / $2,227.87 / $2,232.48	Professional		$1,684.17	$2,227.87	$2,232.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,288.99 / $1,535.90 / $3,728.16	Professional		$1,288.99	$1,535.90	$3,728.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,868.50 / $3,590.10	Professional		$7.00	$1,868.50	$3,590.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,420.37 / $1,892.36 / $3,078.06	Professional		$1,420.37	$1,892.36	$3,078.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,411.13 / $1,411.13 / $1,705.45	Facility		$1,411.13	$1,411.13	$1,705.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,367.08 / $1,419.38 / $1,705.45	Professional		$1,367.08	$1,419.38	$1,705.45
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,228.00	Facility		$625.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,361.64 / $1,785.38 / $2,953.76	Professional		$1,361.64	$1,785.38	$2,953.76