Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,964.00 / $8,427.00	Facility		$1,301.00	$3,964.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,148.12 / $2,370.34 / $3,408.03	Professional		$2,148.12	$2,370.34	$3,408.03
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 $2,520.07 / $2,615.16 / $2,615.16	Professional		$2,520.07	$2,615.16	$2,615.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,286.76 / $3,209.52 / $5,176.75	Professional		$2,286.76	$3,209.52	$5,176.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,152.22 / $4,269.92 / $4,269.92	Professional		$3,152.22	$4,269.92	$4,269.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,342.00 / $8,427.00	Facility		$1,013.00	$5,342.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,130.48 / $2,572.73 / $6,328.92	Professional		$2,130.48	$2,572.73	$6,328.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,938.70 / $6,254.10	Professional		$11.00	$2,938.70	$6,254.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,286.76 / $3,212.38 / $5,176.75	Professional		$2,286.76	$3,212.38	$5,176.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,457.15 / $2,457.15 / $2,977.66	Facility		$2,457.15	$2,457.15	$2,977.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,332.34 / $2,518.76 / $2,977.66	Professional		$2,332.34	$2,518.76	$2,977.66
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 $2,528.71 / $3,352.59 / $5,294.80	Professional		$2,528.71	$3,352.59	$5,294.80