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 $1,468.14 / $1,664.84 / $2,295.02	Professional		$1,468.14	$1,664.84	$2,295.02
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 $1,824.39 / $1,893.23 / $1,893.23	Professional		$1,824.39	$1,893.23	$1,893.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,721.12 / $2,260.46 / $3,701.83	Professional		$1,721.12	$2,260.46	$3,701.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,228.85 / $2,999.43 / $2,999.43	Professional		$2,228.85	$2,999.43	$2,999.43
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 $1,468.14 / $1,749.12 / $4,737.10	Professional		$1,468.14	$1,749.12	$4,737.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,068.00 / $4,558.70	Professional		$8.00	$2,068.00	$4,558.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,740.90 / $2,307.34 / $3,703.86	Professional		$1,740.90	$2,307.34	$3,703.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,757.05 / $1,796.54 / $1,796.54	Facility		$1,757.05	$1,796.54	$1,796.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,714.38 / $1,796.54 / $1,893.93	Professional		$1,714.38	$1,796.54	$1,893.93
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,696.51 / $2,144.55 / $3,635.52	Professional		$1,696.51	$2,144.55	$3,635.52