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 $1,687.00 / $1,856.63 / $2,415.71	Professional		$1,687.00	$1,856.63	$2,415.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,647.90 / $2,675.68 / $3,600.11	Professional		$1,647.90	$2,675.68	$3,600.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,801.59 / $2,445.16 / $3,790.78	Professional		$1,801.59	$2,445.16	$3,790.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,206.12 / $2,926.26 / $2,927.20	Professional		$2,206.12	$2,926.26	$2,927.20
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 $1,687.00 / $1,978.19 / $5,976.94	Professional		$1,687.00	$1,978.19	$5,976.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,201.90 / $4,806.20	Professional		$11.00	$2,201.90	$4,806.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,816.81 / $2,470.39 / $4,048.38	Professional		$1,816.81	$2,470.39	$4,048.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,704.57 / $1,851.21 / $1,851.21	Facility		$1,704.57	$1,851.21	$1,851.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,704.57 / $1,851.21 / $1,951.75	Professional		$1,704.57	$1,851.21	$1,951.75
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 $1,664.45 / $2,228.65 / $3,757.29	Professional		$1,664.45	$2,228.65	$3,757.29