Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $2,747.00 / $8,247.00	Facility		$1,301.00	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.47 / $1,815.72 / $2,929.22	Professional		$1,590.47	$1,815.72	$2,929.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,869.67 / $1,940.22 / $1,940.22	Professional		$1,869.67	$1,940.22	$1,940.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,122.21 / $2,122.21 / $2,122.21	Facility		$2,122.21	$2,122.21	$2,122.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,683.99 / $2,280.04 / $3,730.92	Professional		$1,683.99	$2,280.04	$3,730.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,243.57 / $3,162.74 / $3,875.26	Professional		$2,243.57	$3,162.74	$3,875.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,590.47 / $1,997.81 / $4,694.81	Professional		$1,590.47	$1,997.81	$4,694.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,896.80 / $1,896.80 / $3,747.30	Professional		$1,896.80	$1,896.80	$3,747.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,122.21 / $2,122.21 / $2,122.21	Facility		$2,122.21	$2,122.21	$2,122.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,689.53 / $2,316.44 / $3,730.92	Professional		$1,689.53	$2,316.44	$3,730.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,767.18 / $1,819.96 / $1,819.96	Facility		$1,767.18	$1,819.96	$1,819.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,732.72 / $1,819.96 / $1,934.83	Professional		$1,732.72	$1,819.96	$1,934.83
United Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $2,391.00 / $6,322.00	Facility		$448.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,763.26 / $2,328.83 / $3,450.53	Professional		$1,763.26	$2,328.83	$3,450.53