Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $2,880.86 / $8,451.00	Facility		$1,301.00	$2,880.86	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,475.39 / $2,692.76 / $4,025.58	Professional		$2,475.39	$2,692.76	$4,025.58
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 $2,776.29 / $3,029.84 / $4,697.82	Professional		$2,776.29	$3,029.84	$4,697.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,145.79 / $3,145.79 / $3,145.79	Facility		$3,145.79	$3,145.79	$3,145.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,267.67 / $3,142.97 / $5,442.95	Professional		$2,267.67	$3,142.97	$5,442.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,264.56 / $4,433.79 / $5,638.78	Professional		$3,264.56	$4,433.79	$5,638.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,451.00	Facility		$1,013.00	$4,761.00	$8,451.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,475.39 / $2,809.51 / $5,958.00	Professional		$2,475.39	$2,809.51	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,456.40 / $3,456.40 / $5,629.10	Professional		$3,456.40	$3,456.40	$5,629.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,145.79 / $3,145.79 / $3,145.79	Facility		$3,145.79	$3,145.79	$3,145.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,410.25 / $3,211.16 / $5,442.95	Professional		$2,410.25	$3,211.16	$5,442.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,590.17 / $2,713.03 / $2,713.03	Facility		$2,590.17	$2,713.03	$2,713.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,590.17 / $2,713.03 / $2,863.17	Professional		$2,590.17	$2,713.03	$2,863.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,573.00 / $14,299.00	Facility		$3,340.00	$6,573.00	$14,299.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,406.76 / $3,256.20 / $5,302.48	Professional		$2,406.76	$3,256.20	$5,302.48