Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,683.94 / $6,539.81 / $7,202.51	Facility		$2,683.94	$6,539.81	$7,202.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,389.21 / $7,202.51 / $7,202.51	Professional		$2,389.21	$7,202.51	$7,202.51
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 $1,360.28 / $1,360.28 / $1,360.28	Professional		$1,360.28	$1,360.28	$1,360.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,215.19 / $2,267.14 / $5,211.02	Facility		$1,215.19	$2,267.14	$5,211.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,405.84 / $8,405.84 / $8,405.84	Professional		$8,405.84	$8,405.84	$8,405.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,831.15 / $2,354.33 / $4,307.56	Professional		$1,831.15	$2,354.33	$4,307.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,683.94 / $7,202.51 / $7,202.51	Facility		$2,683.94	$7,202.51	$7,202.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,683.94 / $7,202.51 / $7,202.51	Professional		$2,683.94	$7,202.51	$7,202.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,581.05 / $2,615.92 / $3,487.90	Professional		$2,581.05	$2,615.92	$3,487.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,215.19 / $2,220.28 / $5,787.25	Facility		$1,215.19	$2,220.28	$5,787.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8,405.84 / $8,405.84 / $8,405.84	Professional		$8,405.84	$8,405.84	$8,405.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,743.95 / $1,743.95 / $1,918.35	Facility		$1,743.95	$1,743.95	$1,918.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,743.95 / $1,743.95 / $1,918.35	Professional		$1,743.95	$1,743.95	$1,918.35
United Facility/Professional Facility Modifier Low / Median / High Price $491.32 / $491.32 / $491.32	Facility		$491.32	$491.32	$491.32
United Facility/Professional Professional Modifier Low / Median / High Price $491.32 / $701.88 / $2,312.11	Professional		$491.32	$701.88	$2,312.11