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 $1,110.41 / $1,235.93 / $1,608.54	Professional		$1,110.41	$1,235.93	$1,608.54
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 $1,096.45 / $1,725.53 / $2,295.73	Professional		$1,096.45	$1,725.53	$2,295.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.68 / $1,588.72 / $2,645.39	Professional		$1,122.68	$1,588.72	$2,645.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.30 / $1,988.16 / $1,988.16	Professional		$1,488.30	$1,988.16	$1,988.16
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 $1,110.41 / $1,248.56 / $3,670.71	Professional		$1,110.41	$1,248.56	$3,670.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,509.60 / $3,118.30	Professional		$10.00	$1,509.60	$3,118.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,208.01 / $1,596.95 / $2,645.39	Professional		$1,208.01	$1,596.95	$2,645.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,219.07 / $1,219.07 / $1,406.78	Facility		$1,219.07	$1,219.07	$1,406.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,171.30 / $1,235.67 / $1,406.78	Professional		$1,171.30	$1,235.67	$1,406.78
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 $1,137.90 / $1,520.49 / $2,488.35	Professional		$1,137.90	$1,520.49	$2,488.35