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 $1,611.23 / $1,862.10 / $2,675.15	Professional		$1,611.23	$1,862.10	$2,675.15
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 $1,978.81 / $2,053.48 / $2,053.48	Professional		$1,978.81	$2,053.48	$2,053.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,735.40 / $2,513.21 / $4,013.27	Professional		$1,735.40	$2,513.21	$4,013.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,474.71 / $3,351.18 / $3,351.18	Professional		$2,474.71	$3,351.18	$3,351.18
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 $1,595.26 / $2,021.85 / $5,958.00	Professional		$1,595.26	$2,021.85	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,209.50 / $4,921.60	Professional		$11.00	$2,209.50	$4,921.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,735.40 / $2,478.59 / $4,013.27	Professional		$1,735.40	$2,478.59	$4,013.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $1,930.00 / $1,981.01	Facility		$1,930.00	$1,930.00	$1,981.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,832.94 / $1,977.19 / $2,047.84	Professional		$1,832.94	$1,977.19	$2,047.84
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 $1,904.82 / $2,626.32 / $3,934.72	Professional		$1,904.82	$2,626.32	$3,934.72