Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,895.55 / $5,377.45 / $15,056.10	Facility		$2,895.55	$5,377.45	$15,056.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,160.00 / $2,916.00 / $3,060.00	Professional		$2,160.00	$2,916.00	$3,060.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,808.00 / $2,808.00 / $2,808.00	Professional		$2,808.00	$2,808.00	$2,808.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,410.19 / $4,680.00 / $11,946.12	Facility		$2,410.19	$4,680.00	$11,946.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17,352.00 / $17,352.00 / $17,352.00	Professional		$17,352.00	$17,352.00	$17,352.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,780.00 / $4,860.00 / $8,892.00	Professional		$3,780.00	$4,860.00	$8,892.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,888.05 / $6,169.48 / $9,390.69	Facility		$4,888.05	$6,169.48	$9,390.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,043.95 / $6,028.20 / $14,868.00	Facility		$3,043.95	$6,028.20	$14,868.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,362.67 / $3,060.00 / $14,868.00	Professional		$2,362.67	$3,060.00	$14,868.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,328.00 / $5,400.00 / $7,200.00	Professional		$5,328.00	$5,400.00	$7,200.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,410.19 / $4,680.00 / $11,946.12	Facility		$2,410.19	$4,680.00	$11,946.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17,352.00 / $17,352.00 / $17,352.00	Professional		$17,352.00	$17,352.00	$17,352.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $657.70 / $3,600.00 / $3,600.00	Facility		$657.70	$3,600.00	$3,600.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $657.70 / $3,600.00 / $3,600.00	Professional		$657.70	$3,600.00	$3,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,160.00 / $5,040.00	Professional		$1,512.00	$2,160.00	$5,040.00