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 $1,849.29 / $2,072.40 / $2,917.54	Professional		$1,849.29	$2,072.40	$2,917.54
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 $2,053.33 / $2,245.17 / $3,817.61	Professional		$2,053.33	$2,245.17	$3,817.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.54 / $2,326.54 / $2,326.54	Facility		$2,326.54	$2,326.54	$2,326.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,979.87 / $2,624.28 / $4,262.82	Professional		$1,979.87	$2,624.28	$4,262.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,413.41 / $3,277.89 / $4,168.62	Professional		$2,413.41	$3,277.89	$4,168.62
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 $1,849.29 / $2,134.38 / $5,958.00	Professional		$1,849.29	$2,134.38	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,085.10 / $3,085.10 / $4,362.50	Professional		$3,085.10	$3,085.10	$4,362.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,326.54 / $2,326.54 / $2,326.54	Facility		$2,326.54	$2,326.54	$2,326.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,992.88 / $2,660.48 / $4,354.00	Professional		$1,992.88	$2,660.48	$4,354.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,005.39 / $2,005.39 / $2,942.06	Facility		$2,005.39	$2,005.39	$2,942.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,935.96 / $2,023.33 / $2,942.06	Professional		$1,935.96	$2,023.33	$2,942.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,945.71 / $2,688.79 / $4,195.22	Professional		$1,945.71	$2,688.79	$4,195.22