Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $3,745.00 / $8,017.00	Facility		$1,084.00	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,392.71 / $1,581.36 / $2,134.76	Professional		$1,392.71	$1,581.36	$2,134.76
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 $1,733.08 / $1,798.48 / $1,798.48	Professional		$1,733.08	$1,798.48	$1,798.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,634.98 / $2,172.48 / $3,474.38	Professional		$1,634.98	$2,172.48	$3,474.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,052.80 / $2,728.70 / $2,728.70	Professional		$2,052.80	$2,728.70	$2,728.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,392.71 / $1,633.43 / $4,528.81	Professional		$1,392.71	$1,633.43	$4,528.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,905.80 / $4,372.60	Professional		$7.00	$1,905.80	$4,372.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,647.38 / $2,188.80 / $3,529.13	Professional		$1,647.38	$2,188.80	$3,529.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,518.93 / $1,694.79 / $1,694.79	Facility		$1,518.93	$1,694.79	$1,694.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,518.93 / $1,694.79 / $1,783.08	Professional		$1,518.93	$1,694.79	$1,783.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,000.00	Facility		$2,155.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,560.42 / $2,171.03 / $3,476.11	Professional		$1,560.42	$2,171.03	$3,476.11