Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.00 / $4,304.00 / $8,240.00	Facility		$1,416.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,904.64 / $2,092.01 / $2,723.78	Professional		$1,904.64	$2,092.01	$2,723.78
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 $1,856.90 / $2,984.94 / $4,023.01	Professional		$1,856.90	$2,984.94	$4,023.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,005.55 / $2,747.00 / $4,285.14	Professional		$2,005.55	$2,747.00	$4,285.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,488.78 / $3,301.12 / $3,306.17	Professional		$2,488.78	$3,301.12	$3,306.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,247.00	Facility		$1,020.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,904.64 / $2,179.76 / $6,756.42	Professional		$1,904.64	$2,179.76	$6,756.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,400.40 / $5,442.30	Professional		$11.00	$2,400.40	$5,442.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,048.39 / $2,756.99 / $4,589.39	Professional		$2,048.39	$2,756.99	$4,589.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,088.73 / $2,088.73 / $2,238.19	Facility		$2,088.73	$2,088.73	$2,238.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,029.73 / $2,094.10 / $2,238.19	Professional		$2,029.73	$2,094.10	$2,238.19
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 $1,881.76 / $2,675.68 / $4,439.24	Professional		$1,881.76	$2,675.68	$4,439.24