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 $1,539.80 / $1,699.09 / $2,439.15	Professional		$1,539.80	$1,699.09	$2,439.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,596.10 / $2,520.23 / $3,380.00	Professional		$1,596.10	$2,520.23	$3,380.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,707.05 / $2,276.91 / $3,787.66	Professional		$1,707.05	$2,276.91	$3,787.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,263.14 / $3,063.40 / $3,063.40	Professional		$2,263.14	$3,063.40	$3,063.40
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 $1,539.80 / $1,903.21 / $4,541.41	Professional		$1,539.80	$1,903.21	$4,541.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,946.80 / $4,503.80	Professional		$11.00	$1,946.80	$4,503.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,707.05 / $2,276.91 / $3,967.57	Professional		$1,707.05	$2,276.91	$3,967.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,607.40 / $1,761.70 / $1,761.70	Facility		$1,607.40	$1,761.70	$1,761.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,607.40 / $1,761.70 / $1,870.82	Professional		$1,607.40	$1,761.70	$1,870.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,636.00 / $2,321.37 / $3,586.37	Professional		$1,636.00	$2,321.37	$3,586.37