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 $1,093.16 / $1,206.25 / $1,730.51	Professional		$1,093.16	$1,206.25	$1,730.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,285.74 / $1,334.26 / $1,334.26	Professional		$1,285.74	$1,334.26	$1,334.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.33 / $1,612.71 / $2,689.74	Professional		$1,220.33	$1,612.71	$2,689.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,607.85 / $2,175.50 / $2,175.50	Professional		$1,607.85	$2,175.50	$2,175.50
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 $1,093.16 / $1,311.30 / $5,958.00	Professional		$1,093.16	$1,311.30	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,522.80 / $3,205.20	Professional		$11.00	$1,522.80	$3,205.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.38 / $1,629.45 / $2,712.64	Professional		$1,242.38	$1,629.45	$2,712.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,251.04 / $1,251.04 / $1,627.19	Facility		$1,251.04	$1,251.04	$1,627.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,190.52 / $1,279.18 / $1,627.19	Professional		$1,190.52	$1,279.18	$1,627.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,248.70 / $1,670.24 / $2,538.92	Professional		$1,248.70	$1,670.24	$2,538.92