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 $2,460.54 / $2,760.40 / $4,263.47	Professional		$2,460.54	$2,760.40	$4,263.47
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 $2,355.85 / $3,710.53 / $4,990.60	Professional		$2,355.85	$3,710.53	$4,990.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,548.11 / $3,528.91 / $5,734.40	Professional		$2,548.11	$3,528.91	$5,734.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,165.96 / $4,199.57 / $4,215.03	Professional		$3,165.96	$4,199.57	$4,215.03
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 $2,400.91 / $2,808.10 / $7,151.88	Professional		$2,400.91	$2,808.10	$7,151.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,792.60 / $7,336.50	Professional		$11.00	$2,792.60	$7,336.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,567.31 / $3,532.44 / $5,770.78	Professional		$2,567.31	$3,532.44	$5,770.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,586.19 / $2,667.16 / $2,667.16	Facility		$2,586.19	$2,667.16	$2,667.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,586.19 / $2,667.16 / $2,821.53	Professional		$2,586.19	$2,667.16	$2,821.53
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 $2,488.34 / $3,552.63 / $5,372.11	Professional		$2,488.34	$3,552.63	$5,372.11