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 $1,990.09 / $2,333.38 / $3,462.04	Professional		$1,990.09	$2,333.38	$3,462.04
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 $2,560.75 / $2,657.38 / $2,657.38	Professional		$2,560.75	$2,657.38	$2,657.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,127.86 / $3,140.54 / $5,116.82	Professional		$2,127.86	$3,140.54	$5,116.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,203.22 / $4,339.18 / $4,339.18	Professional		$3,203.22	$4,339.18	$4,339.18
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 $1,990.09 / $2,614.23 / $6,431.03	Professional		$1,990.09	$2,614.23	$6,431.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,594.19 / $6,354.00	Professional		$15.00	$2,594.19	$6,354.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,221.21 / $3,186.16 / $5,116.82	Professional		$2,221.21	$3,186.16	$5,116.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,496.01 / $2,496.01 / $2,583.62	Facility		$2,496.01	$2,496.01	$2,583.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,368.41 / $2,558.67 / $2,646.95	Professional		$2,368.41	$2,558.67	$2,646.95
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 $2,313.67 / $3,197.39 / $5,381.13	Professional		$2,313.67	$3,197.39	$5,381.13