Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,596.99 / $8,247.00	Facility		$1,020.00	$4,596.99	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,842.00 / $4,589.56 / $7,008.49	Professional		$3,842.00	$4,589.56	$7,008.49
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 $4,502.42 / $4,672.33 / $4,672.33	Professional		$4,502.42	$4,672.33	$4,672.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,355.07 / $5,892.74 / $9,447.04	Professional		$4,355.07	$5,892.74	$9,447.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,632.29 / $7,634.37 / $7,634.37	Professional		$5,632.29	$7,634.37	$7,634.37
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 $3,842.00 / $4,632.29 / $13,653.06	Professional		$3,842.00	$4,632.29	$13,653.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $5,169.10 / $11,137.50	Professional		$15.00	$5,169.10	$11,137.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,355.07 / $5,892.74 / $9,650.62	Professional		$4,355.07	$5,892.74	$9,650.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,030.21 / $4,393.97 / $4,393.97	Facility		$4,030.21	$4,393.97	$4,393.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,030.21 / $4,393.97 / $4,654.28	Professional		$4,030.21	$4,393.97	$4,654.28
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,228.00	Facility		$625.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,595.16 / $6,245.29 / $9,308.77	Professional		$4,595.16	$6,245.29	$9,308.77