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 $1,865.09 / $2,058.03 / $3,304.40	Professional		$1,865.09	$2,058.03	$3,304.40
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 $2,190.17 / $2,272.83 / $2,272.83	Professional		$2,190.17	$2,272.83	$2,272.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,117.06 / $2,789.39 / $4,587.82	Professional		$2,117.06	$2,789.39	$4,587.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,739.62 / $3,710.01 / $3,710.01	Professional		$2,739.62	$3,710.01	$3,710.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,865.09 / $2,234.62 / $5,497.17	Professional		$1,865.09	$2,234.62	$5,497.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,416.90 / $5,440.10	Professional		$11.00	$2,416.90	$5,440.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,117.06 / $2,789.39 / $4,646.89	Professional		$2,117.06	$2,789.39	$4,646.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,080.57 / $2,133.87 / $2,133.87	Facility		$2,080.57	$2,133.87	$2,133.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,026.72 / $2,133.87 / $2,264.25	Professional		$2,026.72	$2,133.87	$2,264.25
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 $2,204.13 / $2,885.45 / $4,352.27	Professional		$2,204.13	$2,885.45	$4,352.27