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 $1,621.69 / $1,884.41 / $2,789.17	Professional		$1,621.69	$1,884.41	$2,789.17
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 $1,680.95 / $2,682.50 / $3,617.80	Professional		$1,680.95	$2,682.50	$3,617.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,842.39 / $2,427.05 / $3,990.23	Professional		$1,842.39	$2,427.05	$3,990.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,383.23 / $3,226.15 / $3,226.15	Professional		$2,383.23	$3,226.15	$3,226.15
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 $1,621.69 / $1,943.92 / $5,958.00	Professional		$1,621.69	$1,943.92	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,341.00 / $4,739.80	Professional		$11.00	$3,341.00	$4,739.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,842.39 / $2,427.05 / $4,040.42	Professional		$1,842.39	$2,427.05	$4,040.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,477.46 / $1,777.38 / $1,855.92	Facility		$1,477.46	$1,777.38	$1,855.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,477.46 / $1,855.92 / $1,970.49	Professional		$1,477.46	$1,855.92	$1,970.49
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 $1,913.14 / $2,573.83 / $3,777.23	Professional		$1,913.14	$2,573.83	$3,777.23