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 $1,818.43 / $2,031.18 / $2,920.74	Professional		$1,818.43	$2,031.18	$2,920.74
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 $1,906.35 / $2,242.77 / $2,242.77	Professional		$1,906.35	$2,242.77	$2,242.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,987.54 / $2,736.56 / $4,376.10	Professional		$1,987.54	$2,736.56	$4,376.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,703.48 / $3,662.00 / $3,662.00	Professional		$2,703.48	$3,662.00	$3,662.00
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 $1,818.43 / $2,204.64 / $5,958.00	Professional		$1,818.43	$2,204.64	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,172.00 / $5,360.20	Professional		$15.00	$2,172.00	$5,360.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,002.33 / $2,706.46 / $4,376.10	Professional		$2,002.33	$2,706.46	$4,376.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,872.39 / $2,106.00 / $2,106.00	Facility		$1,872.39	$2,106.00	$2,106.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,872.39 / $2,106.00 / $2,233.63	Professional		$1,872.39	$2,106.00	$2,233.63
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 $2,013.62 / $2,697.79 / $4,304.89	Professional		$2,013.62	$2,697.79	$4,304.89