Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $3,830.00 / $8,240.00	Facility		$1,426.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,558.38 / $2,865.92 / $4,154.17	Professional		$2,558.38	$2,865.92	$4,154.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $25,716.00 / $39,341.64	Facility		$8,639.91	$25,716.00	$39,341.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,840.92 / $2,948.12 / $2,948.12	Professional		$2,840.92	$2,948.12	$2,948.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,218.75 / $3,218.75 / $3,218.75	Facility		$3,218.75	$3,218.75	$3,218.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,680.11 / $3,503.23 / $5,714.18	Professional		$2,680.11	$3,503.23	$5,714.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,337.73 / $4,534.49 / $5,765.17	Professional		$3,337.73	$4,534.49	$5,765.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,394.39 / $2,940.66 / $6,862.00	Professional		$2,394.39	$2,940.66	$6,862.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,561.30 / $3,561.30 / $5,741.00	Professional		$3,561.30	$3,561.30	$5,741.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,218.75 / $3,218.75 / $3,218.75	Facility		$3,218.75	$3,218.75	$3,218.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,684.91 / $3,537.56 / $5,986.68	Professional		$2,684.91	$3,537.56	$5,986.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,773.48 / $2,773.48 / $3,313.12	Facility		$2,773.48	$2,773.48	$3,313.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,676.82 / $2,798.98 / $3,313.12	Professional		$2,676.82	$2,798.98	$3,313.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,636.56 / $3,485.15 / $5,483.78	Professional		$2,636.56	$3,485.15	$5,483.78